Individual provider Active NPI

Daniel Woodson Shaw, M.D.

  • Dermatology Physician
  • San Diego, CA
National Provider Identifier
1578515441
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G59947 Issued in CA
Practice address
200 West Arbor Dr
Ucsd Medical Center - Dermatology - MC 8420
San Diego, CA 92103-8420
Phone
(619) 543-3626
Fax
(619) 741-6655
NPI assigned
May 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G59947 CA Primary

Addresses

Primary practice location

200 West Arbor Dr
Ucsd Medical Center - Dermatology - MC 8420
San Diego, CA 92103-8420

Mailing address

200 West Arbor Dr
Ucsd Medical Center - Dermatology - MC 8420
San Diego, CA 92103-8420
Phone (619) 543-3626

Other identifiers 1

IdentifierTypeStateIssuer
00G599470MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59947CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Organizations & group practices 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578515441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DR",
            "address_2": "UCSD MEDICAL CENTER - DERMATOLOGY - MC 8420",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038420",
            "telephone_number": "619-543-3626",
            "fax_number": "619-741-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DR",
            "address_2": "UCSD MEDICAL CENTER - DERMATOLOGY - MC 8420",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038420",
            "telephone_number": "619-543-3626",
            "fax_number": "619-741-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DANIEL",
        "middle_name": "WOODSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G59947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G599470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.