Organization Active NPI

Michael R. Shapiro, M.D., Inc.

  • Orthopaedic Surgery Physician
  • Encino, CA
National Provider Identifier
1730616061
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A35795 Issued in CA
Legal business name
MICHAEL R. SHAPIRO, M.D., INC.
Practice address
17609 Ventura Blvd Ste 304
Encino, CA 91316-5129
Phone
(818) 788-5533
NPI assigned
May 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Michael R Shapiro, M.D.NPI 1629178785
Title
Ceo
Phone
(818) 788-5533

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
Orthopaedic Surgery Physician 207X00000X A35795 CA Primary

Addresses

Primary practice location

17609 Ventura Blvd Ste 304
Encino, CA 91316-5129

Mailing address

17609 Ventura Blvd Ste 304
Encino, CA 91316-5129
Phone (818) 788-5533

Other practice location 1

25751 McBean Pkwy Ste 215
Valencia, CA 91355-3701
Phone (661) 259-7524

Other identifiers 1

IdentifierTypeStateIssuer
A35795OtherCAMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180213001685 CA Part B Supplier - Clinic/Group Practice 0840550844 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA; Valencia, CA

National Provider Directory

National Provider Directory

Locations

17609 Ventura Blvd
Ste 304
Encino, CA 91316
Phone (818) 788-5533

24355 Lyons Ave
Ste 211
Santa Clarita, CA 91321
Phone (661) 255-6644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730616061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 304",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165129",
            "telephone_number": "818-788-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 304",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165129",
            "telephone_number": "818-788-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25751 McBean Pkwy Ste 215",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913553701",
            "country_code": "US",
            "telephone_number": "661-259-7524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL R. SHAPIRO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-788-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A35795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A35795",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.