Individual provider Active NPI

Shawn Daniel Couture, M.D.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1548464175
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A98305 Issued in CA
Practice address
6848 Magnolia Ave Ste 230
Riverside, CA 92506
Phone
(951) 682-9911
Fax
(951) 682-9912
NPI assigned
Jun 14, 2007
Last updated
Jul 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A98305 CA Primary

Addresses

Primary practice location

6848 Magnolia Ave Ste 230
Riverside, CA 92506

Mailing address

3975 Jackson St Ste 203
Riverside, CA 92503-3947
Phone (951) 689-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000473 CA Practitioner - Family Practice 3072675602 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6848 Magnolia Ave
Suite 230
Riverside, CA 92506-2858
Phone (951) 682-9911

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98305CAMDClinical Social Worker
A98305CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Medical Group, Inc. CurrentSince May 17, 2019 Accepting new patients
Couture Medical Group Inc Family Medicine CurrentSince Sep 24, 2014 Accepting new patients
Shawn Couture MD Inc Family Medicine CurrentSince Apr 1, 2008 Accepting new patients
Parkview Outpatient Medical Group, Inc. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Tibbetts Medical Group, Inc. Family Medicine PastSince Apr 13, 2016 Accepting new patients

Locations

3722 Tibbetts St
Riverside, CA 92506
Phone (951) 697-1150

3975 Jackson St
Ste 203
Riverside, CA 92503
Phone (951) 689-6200

6848 Magnolia Ave
Ste 230
Riverside, CA 92506
Phone (951) 384-7377

9041 Magnolia Ave
Ste 107
Riverside, CA 92503
Phone (951) 353-1021

9041 Magnolia Ave
Ste 107B
Riverside, CA 92503
Phone (909) 354-8020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shawn.couture@coumg.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1548464175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033947",
            "telephone_number": "951-689-6200",
            "fax_number": "951-689-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-682-9911",
            "fax_number": "951-682-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTURE",
        "first_name": "SHAWN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.