Active NPI
Shawn Uraine, MD
- Interventional Pain Medicine Physician
- Loma Linda, CA
National Provider Identifier
1588836274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A108851
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588836274 | Other | CA | NPI |
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 |
|---|---|---|---|
| A08851 | CA | MD | Physical Medicine & Rehabilitation Physician |
Interoperability endpoints
- shawn.uraine.1@19187.direct.athenahealth.com
- 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.
-
- Pain Medicine Physician
- Loma Linda, CA
- NPI 1114387651
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.