Daniel Albert Shadoan, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

20A9222 Issued in CA

Practice address

2299 Post St
Ste 308
San Francisco, CA 94115-3474

Phone

(415) 255-5729

Fax

(415) 947-7797

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2013 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1790885549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST",
            "address_2": "STE 308",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153474",
            "telephone_number": "415-255-5729",
            "fax_number": "415-947-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 POST ST",
            "address_2": "STE 308",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153474",
            "telephone_number": "415-255-5729",
            "fax_number": "415-947-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADOAN",
        "first_name": "DANIEL",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "00231586",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A9222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Latoya Shackelford
• Todd Christian Shackelford
• Catherine Lynn Shaddix, M.A.
• Jessica London L. S. Huffine Shaddock, PSY.D
• Elham Shadmehr, DDS, MS
• Kathleen Shadoan
• Carly Shadron
• Mahnour Shadzi, AMFT
• Navid Shafaee, MD
• Mary Ann B. Shafer, M.D.

• Neuromusculoskeletal Medicine & OMM Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.