Tracie Shaw, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5975 Issued in CA

Practice address

5365 Walnut Ave Ste P
Chino, CA 91710-2622

Phone

(909) 946-6643

NPI assigned

Jun 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tarzana Foot and Ankle Center IncGroup PAC ID 4688088586, 7 clinicians

Empire Foot and Ankle Center IncGroup PAC ID 1254617244, 9 clinicians

Foot and Ankle Care Team IncGroup PAC ID 6901145309, 5 clinicians

Riverside Foot and Ankle Center IncGroup PAC ID 2365839883, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
• Chino Valley Medical Center Hospital, Chino, CA, CCN 050586

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empire Foot and Ankle Center Inc.

  • Foot & Ankle Surgery Podiatrist
  • Upland, CA
  • NPI 1205387461

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Riverside Foot and Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Riverside, CA
  • NPI 1700535705

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Tarzana Foot and Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Tarzana, CA
  • NPI 1124617576

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Foot and Ankle Care Team Inc

  • Foot & Ankle Surgery Podiatrist
  • Chino, CA
  • NPI 1649740556
  Medicare reassignment Care Compare group
• Hollywood Foot and Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • N Hollywood, CA
  • NPI 1407669542

  Single Specialty

  Medicare reassignment NPD
• Rabin Beral DPM a Podiatry Corporation

  • Foot & Ankle Surgery Podiatrist
  • Gardena, CA
  • NPI 1215027446

  Single Specialty

  Medicare reassignment NPD
• Rancho Foot and Ankle Center Inc

  • Podiatrist
  • Rancho Cucamonga, CA
  • NPI 1629914775

  Foot & Ankle Surgery

  NPD

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

• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1407813660
  Care Compare affiliation
• Veritas Health Services, LLC

  • General Acute Care Hospital
  • Chino, CA
  • NPI 1962407460
  Care Compare affiliation

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1659948321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 S INDIAN SUMMER AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905216",
            "telephone_number": "626-660-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 WALNUT AVE STE P",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102622",
            "telephone_number": "909-946-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "TRACIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nagy Shahid, RPH
• Melika Shahsavar Haghighi, DDS
• Mohammad Jehad Shakfeh, M.D
• Hamed Shalikar, M.D.
• Farheen Shariff
• Susanne Marie Sheffield, LMFT
• Sheida Tabari, DDS, Inc.
• Tracey Lynne Shepherd, PHD
• Harsha P Sheth, M.D.
• Shi Tang MD Inc

• Foot & Ankle Surgery Podiatrist in Chino, CA
• Providers in Chino, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.

Verify at the official NPI Registry.