Active NPI
Robert H Shaw M D a Professional Corp
- Urology Physician
- Beverly Hills, CA
National Provider Identifier
1467775239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- ROBERT H SHAW M D A PROFESSIONAL CORP
- Practice address
- 9001 Wilshire Blvd
Ste 104
Beverly Hills, CA 90211-1838 - Phone
- (310) 273-2686
- Fax
- (310) 385-9122
- NPI assigned
- Mar 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Shaw, M.D.
- Title
- President
- Phone
- (310) 273-2686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
9001 Wilshire Blvd
Ste 104
Beverly Hills, CA 90211-1838
Mailing address
9001 Wilshire Blvd
Ste 104
Beverly Hills, CA 90211-1838
Phone (310) 273-2686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000G94550 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268611200000",
"number": "1467775239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 WILSHIRE BLVD",
"address_2": "STE 104",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111838",
"telephone_number": "310-273-2686",
"fax_number": "310-385-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 WILSHIRE BLVD",
"address_2": "STE 104",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111838",
"telephone_number": "310-273-2686",
"fax_number": "310-385-9122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT H SHAW M D A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-15",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-273-2686",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000G94550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Roaz Medical Inc a Professional Corporation
- Michael Harry Robbins, D. D. S.
- Robert a. Audell, M.D.,Medical Corporation
- Robert Benjamin Pompa, M.D., Inc
- Robert D. Sibley M.D. a Professional Corporation
- Robert Hashemiyoon MD Inc
- Robert Huizenga MD a Medical Corporation
- Robert Koblin MD Inc
- Robert Koblin, M.D. Inc.
- Robert L. Saltzman M.D.,Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.