Active NPI
James Burr Shaw, MD
- Pain Medicine Physician
- Vista, CA
National Provider Identifier
1710928205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- A45657
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-45657 | Other | CA | STATE LICENSE |
| P00712842 | Other | CA | MEDICARE RAILROAD |
| 614888500 | Other | CA | WORK COMP DOL |
| 103340 | Other | CA | QME |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A45657 | CA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Consultants a Professional Medical Corporation | Pain Medicine | Past | Accepting new patients |
| Stanford Health Care | Past | Accepting new patients | |
| James B Shaw, MD, PC | Pain Medicine | Past | 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.
-
dba MD Pain Specialists
- Pain Medicine (Anesthesiology) Physician
- Encinitas, CA
- NPI 1437312550
-
dba Pacific Pain Medicine Consultants
- Pain Medicine Physician
- Oceanside, CA
- NPI 1023065646
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
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.