Organization Active NPI

Robert J Shorr MD Medical Corp

  • Neurology Physician
  • Ventura, CA
National Provider Identifier
1669648697
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G34439 Issued in CA
Legal business name
ROBERT J SHORR MD MEDICAL CORP
Practice address
2781 Loma Vista Rd Ste B
Ventura, CA 93003-1577
Phone
(805) 715-1041
Fax
(818) 776-8883
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Robert J Shorr, MDNPI 1598823619
Title
Owner
Phone
(818) 776-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G34439 CA Primary

Addresses

Primary practice location

2781 Loma Vista Rd Ste B
Ventura, CA 93003-1577

Mailing address

PO Box 571651
18455 Burbank Blvd #105
Tarzana, CA 91356
Phone (818) 776-9555

National Provider Directory

National Provider Directory

Locations

2781 Loma Vista Rd
Ste B
Ventura, CA 93003
Phone (805) 715-1041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1669648697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571651",
            "address_2": "18455 BURBANK BLVD #105",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-776-9555",
            "fax_number": "818-776-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 LOMA VISTA RD STE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031577",
            "telephone_number": "805-715-1041",
            "fax_number": "818-776-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J SHORR MD MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "SHORR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-776-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G34439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.