Individual provider Active NPI

Shawn Uraine, MD

  • Interventional Pain Medicine Physician
  • Loma Linda, CA
National Provider Identifier
1588836274
Registry record updated Jul 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A108851 Issued in CA
Practice address
25805 Barton Rd
Suite A106
Loma Linda, CA 92354-3814
Phone
(909) 333-4200
Fax
(909) 333-4205
NPI assigned
Apr 2, 2008
Last updated
Jul 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X A108851 CA
Physical Medicine & Rehabilitation Physician 208100000X A08851 CA
Spinal Cord Injury Medicine Physician 2081P0004X A108851 CA
Interventional Pain Medicine Physician 208VP0014X A108851 CA Primary

Addresses

Primary practice location

25805 Barton Rd
Suite A106
Loma Linda, CA 92354-3814

Mailing address

PO Box 119
Loma Linda, CA 92354-0119

Other identifiers 1

IdentifierTypeStateIssuer
1588836274OtherCANPI

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

LicenseStateTypeSpecialty
A08851CAMDPhysical Medicine & Rehabilitation Physician

Interoperability endpoints

  • Direct secure messaging: shawn.uraine.1@19187.direct.athenahealth.com
  • Direct secure messaging: shawn.uraine.1@22218.direct.athenahealth.com

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1588836274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 119",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25805 BARTON RD",
            "address_2": "SUITE A106",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543814",
            "telephone_number": "909-333-4200",
            "fax_number": "909-333-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URAINE",
        "first_name": "SHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "A108851",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A08851",
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "CA",
            "license": "A108851",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A108851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588836274",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.