Allan a. Shook,M.D. a Medical Corporation

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G37176 Issued in CA

Legal business name

ALLAN A. SHOOK,M.D. A MEDICAL CORPORATION

Practice address

18433 Roscoe Blvd
Ste. 202
Northridge, CA 91325-4108

Phone

(818) 348-1262

Fax

(818) 349-7529

NPI assigned

Mar 5, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Allan Abraham Shook, MD

Title

President

Phone

(818) 349-1262

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1457674343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD",
            "address_2": "STE. 202",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254108",
            "telephone_number": "818-348-1262",
            "fax_number": "818-349-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD",
            "address_2": "STE. 202",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254108",
            "telephone_number": "818-348-1262",
            "fax_number": "818-349-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN A. SHOOK,M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-349-1262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G37176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G371760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.