Active NPI
Stephen Roy Shapiro, M.D.
- Pediatric Urology Physician
- Sacramento, CA
National Provider Identifier
1487728507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- G22205
- Practice address
- 87 Scripps Dr
Suite # 114
Sacramento, CA 95825-6372 - Phone
- (916) 649-8991
- Fax
- (916) 649-2915
- NPI assigned
- Nov 20, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | G22205 | CA | Primary |
Addresses
Primary practice location
87 Scripps Dr
Suite # 114
Sacramento, CA 95825-6372
Mailing address
87 Scripps Dr
Suite # 114
Sacramento, CA 95825-6372
Phone (916) 649-8991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0069580 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G22205 | CA | MD | Pediatric Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487728507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 SCRIPPS DR",
"address_2": "SUITE # 114",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256372",
"telephone_number": "916-649-8991",
"fax_number": "916-649-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 SCRIPPS DR",
"address_2": "SUITE # 114",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256372",
"telephone_number": "916-649-8991",
"fax_number": "916-649-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "STEPHEN",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "CA",
"license": "G22205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0069580",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.