Vincent Stephen Shallow, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A31633 Issued in CA

Practice address

2095 Lynx Way
San Marcos, CA 92078-0905

Phone

(760) 304-0226

NPI assigned

Jul 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Orohealth Corporation a Non Profit Healthcare System

  dba Orohealth Professional Group

  • Family Medicine Physician
  • Oroville, CA
  • NPI 1013933167
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1770783052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 LYNX WAY",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920780905",
            "telephone_number": "760-304-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 LYNX WAY",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920780905",
            "telephone_number": "760-304-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLOW",
        "first_name": "VINCENT",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "123271",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A31633",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "HI",
            "license": "MD-16910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "2157538",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shishir Navinchandra Shah, D.D.S
• Rima Chehade Shahhal, D.D.S.
• Sami Shahhal, D.D.S.
• Babak Shahrokh, DMD
• Mohammed Shalabi
• Shanahan & Associates, Inc. (Windward Home Health)
• Shari Jones Speech Therapy Inc (Nest Pediatric Therapy)
• Vishakha Modi Sharma, M.D.
• Zakkary Logan Sharp
• Lisa Catherine Sheehan, RN , NP

• Urology Physician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.