Organization Active NPI

Shaffer Group Inc

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1689031817
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW27326 Issued in CA
Legal business name
SHAFFER GROUP INC
Practice address
40315 Bellevue Dr
Temecula, CA 92591-7563
Phone
(951) 595-2764
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Stephanie ShafferNPI 1518242411
Title
President
Phone
(951) 595-2764

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW27326 CA Primary

Addresses

Primary practice location

40315 Bellevue Dr
Temecula, CA 92591-7563

Mailing address

40335 Winchester Rd Ste 280
Temecula, CA 92591-5500
Phone (951) 595-2764

Other names 1

  • The Shaffer Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201103002083 CA Part B Supplier - Clinic/Group Practice 6305256330 Receives reassigned benefits from 1 practitioner
Practice locations: Temecula, CA

National Provider Directory

National Provider Directory

Locations

40335 Winchester Rd
Ste 280
Temecula, CA 92591

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": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1689031817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40335 WINCHESTER RD STE 280",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915500",
            "telephone_number": "951-595-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40315 BELLEVUE DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925917563",
            "telephone_number": "951-595-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFFER GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-595-2764"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW27326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shaffer Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.