John R Shaw MD Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G15265 Issued in CA

Legal business name

JOHN R SHAW MD MEDICAL CORPORATION

Practice address

3719 Arlington Ave
Suite 1
Riverside, CA 92506-2652

Phone

(951) 781-3800

Fax

(951) 781-1973

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Robert Shaw, M.D.

Title

President

Phone

(951) 781-3800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Peter Farouk Samaan, MD

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1750582136
  NPD (past)
• Fred M Watkins, M.D.

  • Family Medicine Physician
  • Corona, CA
  • NPI 1417244591
  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1801040688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 ARLINGTON AVE",
            "address_2": "SUITE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062652",
            "telephone_number": "951-781-3800",
            "fax_number": "951-781-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 ARLINGTON AVE",
            "address_2": "SUITE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062652",
            "telephone_number": "951-781-3800",
            "fax_number": "951-781-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R SHAW MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-781-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G15265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshni Jogin, DO
• John Hoang Physician Assistant Corporation
• John J. Kane, M.D.,Inc
• John L Coon MD Inc
• John Parkhur DMD Inc
• Sanu John, DO
• Sung Jin John, MD
• Johnre LLC
• Lawana J Johnson-Spencer
• Jill A. Johnson-Young, LCSW

• Primary Care Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.