Sylvia J Shaw MD a Medical Corp

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

G50246 Issued in CA

Legal business name

SYLVIA J SHAW MD A MEDICAL CORP

Practice address

3633 MLK Blvd
#2
Lynwood, CA 90262

Phone

(310) 537-6397

Fax

(310) 537-7550

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sylvia J Shaw, MDNPI 1093726663

Title

Owner

Phone

(310) 537-6397

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sylvia J Shaw, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lynwood, CA
  • NPI 1093726663
  Medicare reassignment NPD Authorized official
• Christina Marie Reichert, NP

  • Family Nurse Practitioner
  • San Pedro, CA
  • NPI 1457623969
  Medicare reassignment NPD
• Helene Margarite Mendez, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Inglewood, CA
  • NPI 1366194946
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1619154457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 MLK BLVD",
            "address_2": "#2",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-537-6397",
            "fax_number": "310-537-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 MLK BLVD",
            "address_2": "#2",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-537-6397",
            "fax_number": "310-537-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVIA J SHAW MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-537-6397",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G50246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G502461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenae Suite
• Billie Jo Summers
• Malik Summers
• Medardo C. Supnet, M.D.
• Prashanth Sutrave, MD
• Albert K Szeto, MD
• Ashley Szmania, NP
• T K Peterson MD
• May Aya Tajima
• Chong H Tak, MD

• Endocrinology, Diabetes & Metabolism Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.