Individual provider Active NPI

James Burr Shaw, MD

  • Pain Medicine Physician
  • Vista, CA
National Provider Identifier
1710928205
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A45657 Issued in CA
Practice address
1680 S Melrose Dr
Suite 105
Vista, CA 92081-5472
Phone
(760) 632-7246
Fax
(760) 942-8878
NPI assigned
Jun 8, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A45657 CA
Pain Medicine Physician 208VP0000X A45657 CA Primary

Addresses

Primary practice location

1680 S Melrose Dr
Suite 105
Vista, CA 92081-5472

Mailing address

7040 Avenida Encinas
#104-248
Carlsbad, CA 92011-4652
Phone (760) 632-7246

Other identifiers 4

IdentifierTypeStateIssuer
A-45657OtherCASTATE LICENSE
P00712842OtherCAMEDICARE RAILROAD
614888500OtherCAWORK COMP DOL
103340OtherCAQME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45657CAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Consultants a Professional Medical Corporation Pain Medicine PastSince Jan 1, 1998 Accepting new patients
Stanford Health Care Past Accepting new patients
James B Shaw, MD, PC Pain Medicine PastSince Aug 1, 2008 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710928205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 AVENIDA ENCINAS",
            "address_2": "#104-248",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114652",
            "telephone_number": "760-632-7246",
            "fax_number": "760-942-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 S MELROSE DR",
            "address_2": "SUITE 105",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815472",
            "telephone_number": "760-632-7246",
            "fax_number": "760-942-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JAMES",
        "middle_name": "BURR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A45657",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A45657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A-45657",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00712842",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP DOL",
            "identifier": "614888500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QME",
            "identifier": "103340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.