Active NPI
Amy Mara Shapiro, M.D.
- Pediatrics Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A95143
- Practice address
- 12555 W Jefferson Blvd Ste 302
Los Angeles, CA 90066-7032 - Phone
- (424) 443-5600
- Fax
- (424) 443-5606
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A95143 | CA | Primary |
Addresses
Primary practice location
12555 W Jefferson Blvd Ste 302
Los Angeles, CA 90066-7032
Mailing address
12555 W Jefferson Blvd Ste 302
Los Angeles, CA 90066-7032
Phone (424) 443-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A95143 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint Johns Medical Foundation | Pediatrics | Current | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| Providence Saint John'S Health Center | Past | Accepting new patients |
Locations
12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640
12555 W Jefferson Blvd
Ste 302
Los Angeles, CA 90066
Phone (424) 443-5600
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
2020 Santa Monica Blvd
Ste 300
Santa Monica, CA 90404
Phone (310) 582-7312
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1831215698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12555 W JEFFERSON BLVD STE 302",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900667032",
"telephone_number": "424-443-5600",
"fax_number": "424-443-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12555 W JEFFERSON BLVD STE 302",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900667032",
"telephone_number": "424-443-5600",
"fax_number": "424-443-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "AMY",
"middle_name": "MARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A95143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.