Jesse Alan Shantz, M.D., M.B.A.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A119543 Issued in CA

Practice address

2550 23Rd St
Building 9, 2ND Floor
San Francisco, CA 94110-3504

Phone

(415) 206-8812

Fax

(415) 647-3733

NPI assigned

Jan 3, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jesse Alan Slade Shantz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1730459041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 MISSISSIPPI ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072935",
            "telephone_number": "415-852-2127",
            "fax_number": "415-647-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 23RD ST",
            "address_2": "BUILDING 9, 2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103504",
            "telephone_number": "415-206-8812",
            "fax_number": "415-647-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTZ",
        "first_name": "JESSE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A119543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "SLADE SHANTZ",
            "middle_name": "ALAN",
            "prefix": "DR.",
            "credential": "M.D., M.B.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maureen T. Shannon, RN NP
• Tara Shannon
• Jon D Shanser, MD
• Jessica Gowramma Shantha, M.D.
• Shanti Das Shanti, PHD, DDS, MPH
• Helen Shao, MS.RD
• Jennifer Shao
• Julia Shao
• Roberta C. Shao, MD
• Shirley Jing Shao

• Orthopaedic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.