Active NPI
Robert Allan Shpall, MD
- Urology Physician
- Los Angeles, CA
National Provider Identifier
1447408281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G13358
- Practice address
- 1200 N. State St.
Suite 5900
Los Angeles, CA 90089-9178 - Phone
- (323) 226-7301
- Fax
- (323) 226-7927
- NPI assigned
- Sep 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G13358 | CA | Primary |
Addresses
Primary practice location
1200 N. State St.
Suite 5900
Los Angeles, CA 90089-9178
Mailing address
2302 Duxbury Circle
Los Angeles, CA 90034
Phone (310) 204-6945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G13358 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1447408281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 DUXBURY CIRCLE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90034",
"telephone_number": "310-204-6945",
"fax_number": "310-204-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N. STATE ST.",
"address_2": "SUITE 5900",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900899178",
"telephone_number": "323-226-7301",
"fax_number": "323-226-7927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHPALL",
"first_name": "ROBERT",
"middle_name": "ALLAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G13358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.