Active NPI
Lynne B Shaw, PA-C
- Physician Assistant
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13689
- Practice address
- 112 La Casa Via Ste 360
Walnut Creek, CA 94598-3060 - Phone
- (925) 935-2070
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13689 | CA | Primary |
Addresses
Primary practice location
112 La Casa Via Ste 360
Walnut Creek, CA 94598-3060
Mailing address
164 Tivoli LN
Danville, CA 94506-4602
Phone (925) 822-6940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA13689 | Other | CA | PA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4956
Phone (925) 308-8112
2700 Grant St
Suite 106
Concord, CA 94520-2280
Phone (925) 685-7598
2700 Grant St
Suite 319
Concord, CA 94520-2266
Phone (925) 674-2880
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.32 of 100
- Quality
- 89.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13689 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients | |
| Arrhythmia Specialists Inc | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597
Interoperability endpoints
- lshaw14167@ehr.johnmuirhealth.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- Cardiovascular Disease Physician
- Concord, CA
- NPI 1033275524
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1679670780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 TIVOLI LN",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945064602",
"telephone_number": "925-822-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LA CASA VIA STE 360",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983060",
"telephone_number": "925-935-2070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "LYNNE",
"middle_name": "B",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA13689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "PA13689",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.