Individual provider Active NPI

Stephen Brian Shew, MD

  • Pediatric Surgery Physician
  • Santa Clara, CA
National Provider Identifier
1730194168
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
A86450 Issued in CA
Practice address
710 Lawrence Expy Dept 286
Santa Clara, CA 95051-5173
Phone
(408) 851-2000
Fax
(408) 851-2358
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X A86450 CA Primary

Addresses

Primary practice location

710 Lawrence Expy Dept 286
Santa Clara, CA 95051-5173

Mailing address

710 Lawrence Expy Dept 286
Santa Clara, CA 95051-5173
Phone (408) 851-2000

Other identifiers 1

IdentifierTypeStateIssuer
00A864500MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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
I20040827000363 CA Practitioner - General Surgery 2062487648 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Los Angeles CurrentSince Apr 24, 2014 Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 24, 2023 Accepting new patients
County of Los Angeles CurrentSince Apr 24, 2014 Accepting new patients
Permanente Medical Group Inc CurrentSince Sep 24, 2023 Accepting new patients
County of Santa Clara CurrentSince May 18, 2019 Accepting new patients
County of Santa Clara CurrentSince May 18, 2019 Accepting new patients
County of Santa Clara CurrentSince May 18, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
County of Santa Clara CurrentSince May 18, 2019 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
John Muir Health Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Pediatric Subspecialty Network Inc. Pediatric Surgery Past Accepting new patients
County of Ventura Past Accepting new patients

Locations (25 of 26)

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

710 Lawrence Expy
#286
Santa Clara, CA 95051
Phone (408) 203-8614

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1730194168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE EXPY DEPT 286",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515173",
            "telephone_number": "408-851-2000",
            "fax_number": "408-851-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE EXPY DEPT 286",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515173",
            "telephone_number": "408-851-2000",
            "fax_number": "408-851-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEW",
        "first_name": "STEPHEN",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "A86450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A864500",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "710 Lawrence Expy Dept 286",
            "city": "Santa Clara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950515173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.