NPIMap

Individual provider Active NPI

Steven E Shield, M.D.

  • Family Medicine Physician
  • Groveland, CA
National Provider Identifier
1619954237
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CAG66861 Issued in CA
Practice address
18661 State Highway 120
Groveland, CA 95321-9701
Phone
(209) 962-7121
Fax
(209) 962-0665
NPI assigned
Dec 23, 2005
Last updated
Sep 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CAG66861 CA Primary

Addresses

Primary practice location

18661 State Highway 120
Groveland, CA 95321-9701

Mailing address

14400 Jacksonville Rd
Jamestown, CA 95327-9567
Phone (209) 962-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090106000675 CA Practitioner - Family Practice 1153484837 Reassigns benefits to 2 organizations
I20250401000080 TX Practitioner - General PracticePractitioner - Family Practice 1153484837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Loma Linda University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mathiesen Memorial Health ClinicGroup PAC ID 1759429814, 4 clinicians

Practice addresses (Care Compare)

18144 Seco St
Jamestown, CA 95327-9498
Phone (209) 984-4820

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CAG66861CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Family Medicine CurrentSince Jul 20, 2015 Accepting new patients
Mathiesen Memorial Health Clinic CurrentSince Apr 1, 2025 Accepting new patients
Sonora Community Hospital CurrentSince Jul 28, 2008 Accepting new patients
Sonora Community Hospital CurrentSince Jul 28, 2008 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Mathiesen Memorial Health Center PastSince Jun 5, 2022 Accepting new patients
Sonora Community Hospital Family Medicine Past Accepting new patients

Locations

18661 Highway 120
Groveland, CA 95321
Phone (209) 962-7121

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785

19747 Greenley Rd
Ste S2
Sonora, CA 95370
Phone (209) 536-2665

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: steven.shield.p1@direct.mathiesenmemorialhc.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1619954237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 JACKSONVILLE RD",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279567",
            "telephone_number": "209-962-7121",
            "fax_number": "209-962-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18661 STATE HIGHWAY 120",
            "city": "GROVELAND",
            "state": "CA",
            "postal_code": "953219701",
            "telephone_number": "209-962-7121",
            "fax_number": "209-962-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELD",
        "first_name": "STEVEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "CAG66861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, CA

Sources for this page

Verify at the official NPI Registry.