Individual provider Active NPI

Shelby Lynne Walters Cody, MD

  • Anesthesiology Physician
  • Madera, CA
National Provider Identifier
1679709430
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A116475 Issued in CA
Practice address
9300 Valley Childrens PL
Madera, CA 93636-8761
Phone
(559) 353-3000
Fax
(323) 361-1001
NPI assigned
Jun 8, 2009
Last updated
Jul 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A116475 CA Primary
Pediatric Anesthesiology Physician 207LP3000X A116475 CA

Addresses

Primary practice location

9300 Valley Childrens PL
Madera, CA 93636-8761

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610000024 CA Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 9931420445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pediatric Medicine
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists of the Central CoastGroup PAC ID 5597665018, 35 clinicians

Practice addresses (Care Compare)

1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 928-1731

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116475CAMDMarriage & Family Therapist
A116475CAMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Anesthesia Associates Medical Group Inc Anesthesiology CurrentSince Apr 1, 2015 Accepting new patients
Associated Anesthesiologists of the Central Coast Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients

Locations

345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1351 E Spruce Ave
Fresno, CA 93720
Phone (559) 432-3303

6235 N Fresno St
Fresno, CA 93710
Phone (559) 229-3668

6235 N Fresno St
Ste 103
Fresno, CA 93710
Phone (559) 449-4350

7130 N Millbrook Ave
Ste 100
Fresno, CA 93720
Phone (209) 447-4949

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

9300 Valley Childrens Pl
Ste FE10
Madera, CA 93636

24757 Dept La Lockbox
Pasadena, CA 91185

921 Oak Park Blvd
Ste 101
Pismo Beach, CA 93449
Phone (805) 473-9850

1105 E Foster Rd
Santa Maria, CA 93455

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1304 Ella St
Ste C
Sn Luis Obisp, CA 93401
Phone (805) 544-7214

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

1101 Las Tablas Rd
Ste K
Templeton, CA 93465
Phone (805) 434-2009

322 Posada Ln
Ste B
Templeton, CA 93465
Phone (805) 591-3344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1679709430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-3000",
            "fax_number": "323-361-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "SHELBY",
        "middle_name": "LYNNE WALTERS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A116475",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CA",
            "license": "A116475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.