Active NPI
Shelly Rae Dawson, MD
- Family Medicine Physician
- Marina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C146662
- Practice address
- 3130 Del Monte Blvd
Marina, CA 93933-3047 - Phone
- (831) 883-3330
- Fax
- (831) 883-3335
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101238261 | VA | |
| Family Medicine Physician | 207Q00000X | C146662 | CA | Primary |
Addresses
Primary practice location
3130 Del Monte Blvd
Marina, CA 93933-3047
Mailing address
100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Virginia School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3130 Del Monte Blvd
Marina, CA 93933-3047
Phone (831) 883-3330
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.47 of 100
- Quality
- 67.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.71
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C146662 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors on Duty Medical Group, Inc | Current | Accepting new patients | |
| Culpeper Medical Associates, LLC | Past | Accepting new patients | |
| Uva Culpeper Medical Center | Past | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Past | Accepting new patients |
Locations
3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330
100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301
Interoperability endpoints
- sdawson15187@direct.svmh.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Salinas, CA
- NPI 1568465466
-
- Multi-Specialty Clinic/Center
- Culpeper, VA
- NPI 1003853920
-
dba UVA Health Sciences Center
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
dba UVA Health Culpeper Medical Center
- General Acute Care Hospital
- Culpeper, VA
- NPI 1669538047
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Monterey, CA
- NPI 1679562169
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
-
dba Taylor Farms Family Health & Wellness Center
- Rural Health Clinic/Center
- Gonzales, CA
- NPI 1437549284
Hospital
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1750384079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619068103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILSON RD STE 100",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407885",
"telephone_number": "831-649-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 DEL MONTE BLVD",
"city": "MARINA",
"state": "CA",
"postal_code": "939333047",
"telephone_number": "831-883-3330",
"fax_number": "831-883-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "SHELLY",
"middle_name": "RAE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101238261",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C146662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.