Organization Active NPI

Alan E. Shapiro, M.D., a Medical Corporation

  • Urology Physician
  • Los Angeles, CA
National Provider Identifier
1639343684
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G11559 Issued in CA
Legal business name
ALAN E. SHAPIRO, M.D., A MEDICAL CORPORATION
Practice address
8635 W 3Rd St
765W
Los Angeles, CA 90048-6101
Phone
(310) 854-7717
Fax
(310) 289-5198
NPI assigned
Apr 21, 2008
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Marina Camberos
Title
Office Manager
Phone
(310) 854-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G11559 CA Primary

Addresses

Primary practice location

8635 W 3Rd St
765W
Los Angeles, CA 90048-6101

Mailing address

8635 W 3Rd St Ste 765W
Los Angeles, CA 90048-6108
Phone (310) 854-7717

Other identifiers 1

IdentifierTypeStateIssuer
G11559OtherLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080506000192 CA Part B Supplier - Clinic/Group Practice 6002995826 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

2680 Saturn Ave
Ste 200
Huntington Park, CA 90255
Phone (323) 587-3882

7900 Pacific Blvd
Huntington Park, CA 90255
Phone (323) 277-9455

5900 Pacific Blvd
Ste 103
Huntington Pk, CA 90255
Phone (213) 587-3882

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1639343684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 765W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486108",
            "telephone_number": "310-854-7717",
            "fax_number": "323-587-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "765W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-854-7717",
            "fax_number": "310-289-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN E. SHAPIRO, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "CAMBEROS",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-854-7717"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G11559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G11559",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.