Individual provider Active NPI

David J Sheffner, M.D.

  • Forensic Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1538309745
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
A23419 Issued in CA
Practice address
320 Superior Ave Ste 330
Newport Beach, CA 92663-2772
Phone
(949) 645-4323
Fax
(949) 645-6650
NPI assigned
Feb 27, 2009
Last updated
Feb 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X A23419 CA Primary

Addresses

Primary practice location

320 Superior Ave Ste 330
Newport Beach, CA 92663-2772

Mailing address

320 Superior Ave Ste 330
Newport Beach, CA 92663-2772
Phone (949) 645-4323

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

LicenseStateTypeSpecialty
A23419CAMDForensic Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1538309745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632772",
            "telephone_number": "949-645-4323",
            "fax_number": "949-645-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632772",
            "telephone_number": "949-645-4323",
            "fax_number": "949-645-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFNER",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "A23419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.