Active NPI
Betsy Alcid Shaw, MD
- Family Medicine Physician
- Torrance, CA
National Provider Identifier
1588801229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A42535
- Practice address
- 1001 West Carson Street
Suite I
Torrance, CA 90502-2051 - Phone
- (310) 533-9233
- Fax
- (310) 533-9292
- NPI assigned
- Jan 16, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A42535 | CA | Primary |
Addresses
Primary practice location
1001 West Carson Street
Suite I
Torrance, CA 90502-2051
Mailing address
1001 West Carson Street
Suite I
Torrance, CA 90502-2051
Phone (310) 533-9233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A425350 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42535 | CA | MD | General Practice Dentistry |
| A42535 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1588801229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 WEST CARSON STREET",
"address_2": "SUITE I",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022051",
"telephone_number": "310-533-9233",
"fax_number": "310-533-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WEST CARSON STREET",
"address_2": "SUITE I",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022051",
"telephone_number": "310-533-9233",
"fax_number": "310-533-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "BETSY",
"middle_name": "ALCID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A42535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A425350",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.