NPIMap

Organization Active NPI

Shane Speirs MD PC

  • Multi-Specialty Clinic/Center
  • Rancho Mirage, CA
National Provider Identifier
1750129672
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SHANE SPEIRS MD PC
Practice address
35800 Bob Hope Dr Ste 225
Rancho Mirage, CA 92270-1740
Phone
(760) 673-7010
Fax
(760) 673-7911
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Dr. Shane Ryan Speirs, MDNPI 1427589498
Title
Chief Medical Officer
Phone
(602) 491-0701

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

35800 Bob Hope Dr Ste 225
Rancho Mirage, CA 92270-1740

Mailing address

501 N 44TH St Ste 450
Phoenix, AZ 85008-6526
Phone (602) 491-0701

Other practice location 1

3125 Conant Ave
Modesto, CA 95350-6527
Phone (209) 524-1668

Other practice location 2

1444 Florida Ave Ste 1&2
Modesto, CA 95350-4400
Phone (209) 524-1668

Other practice location 3

1262 E North St Ste 100
Manteca, CA 95336-4962
Phone (209) 524-1668

Other practice location 4

500 S Anaheim Blvd Ste 246
Anaheim, CA 92805-4721
Phone (714) 747-3300

Other practice location 5

500 S Anaheim Blvd Ste 242
Anaheim, CA 92805-4721
Phone (714) 747-3300

Other names 1

  • HealthyU Clinics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241107001614 CA Part B Supplier - Clinic/Group Practice 1355875741 Receives reassigned benefits from 19 practitioners
Practice locations: Anaheim, CA; Manteca, CA; Modesto, CA; Placentia, CA; Rancho Mirage, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2075609Healthyu Clinics35800 Bob Hope Dr Ste 225, Rancho Mirage, CA 92270Certificate of waiverMar 31, 2028

National Provider Directory

National Provider Directory

Locations

500 S Anaheim Blvd
Ste 242
Anaheim, CA 92805
Phone (714) 747-3300

500 S Anaheim Blvd
Ste 246
Anaheim, CA 92805
Phone (714) 747-3300

1262 E North St
Ste 100
Manteca, CA 95336
Phone (209) 524-1668

1444 Florida Ave
Ste 12
Modesto, CA 95350
Phone (209) 524-1264

1444 Florida Ave
Ste 1
Modesto, CA 95350

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1750129672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 44TH ST STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086526",
            "telephone_number": "602-491-0701",
            "fax_number": "480-631-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35800 BOB HOPE DR STE 225",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701740",
            "telephone_number": "760-673-7010",
            "fax_number": "760-673-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 Conant Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953506527",
            "country_code": "US",
            "telephone_number": "209-524-1668",
            "fax_number": "209-524-0014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1444 Florida Ave Ste 1&2",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504400",
            "country_code": "US",
            "telephone_number": "209-524-1668",
            "fax_number": "209-575-3085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1262 E North St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953364962",
            "country_code": "US",
            "telephone_number": "209-524-1668",
            "fax_number": "209-239-4769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Anaheim Blvd Ste 246",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928054721",
            "country_code": "US",
            "telephone_number": "714-747-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Anaheim Blvd Ste 242",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928054721",
            "country_code": "US",
            "telephone_number": "714-747-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANE SPEIRS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "SPEIRS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "602-491-0701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthyU Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthyU Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.