Individual provider Active NPI

Jeffrey Michael Shapiro

  • Anesthesiology Physician
  • Redwood City, CA
National Provider Identifier
1396847893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G45600 Issued in CA
Practice address
170 Alameda de Las Pulgas
#105
Redwood City, CA 94062-2751
Phone
(650) 367-5992
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G45600 CA Primary

Addresses

Primary practice location

170 Alameda de Las Pulgas
#105
Redwood City, CA 94062-2751

Mailing address

700 Irwin St
#102
San Rafael, CA 94901-3339
Phone (415) 460-9927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000814 CA Practitioner - Anesthesiology 6608896527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Yale University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Care Consultants IncGroup PAC ID 9032210935, 18 clinicians

Practice addresses (Care Compare)

1900 Sullivan Ave
Daly City, CA 94015-2200
Phone (408) 354-9254

Hospital & facility affiliations

  • Ahmc Seton Medical Center Hospital, Daly City, CA, CCN 050289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45600CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Consultants Inc Anesthesiology CurrentSince Oct 22, 2016 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Anesthesia Care Consultants Inc Anesthesiology Past Accepting new patients

Locations

1849 Bayshore Hwy
Ste 3
Burlingame, CA 94010

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

39350 Civic Center Dr
Fl 1
Fremont, CA 94538

15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244

631 Menlo Ave
Menlo Park, CA 94025
Phone (650) 322-2443

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

2110 Forest Ave
San Jose, CA 95128
Phone (408) 297-3432

104 Saint Matthews Ave
San Mateo, CA 94401
Phone (650) 344-8700

66 Bovet Rd
Ste 103
San Mateo, CA 94402
Phone (650) 570-0500

2222 Lafayette St
Santa Clara, CA 95050
Phone (408) 307-0560

3003 Paul Sweet Rd
Santa Cruz, CA 95065
Phone (831) 462-1607

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396847893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 IRWIN ST",
            "address_2": "#102",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013339",
            "telephone_number": "415-460-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ALAMEDA DE LAS PULGAS",
            "address_2": "#105",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622751",
            "telephone_number": "650-367-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G45600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.