Individual provider Active NPI

Roxana Shaw, MPAS, P.A.-C, CHC

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1851467013
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55445 Issued in CA
Practice address
3991 Macarthur Blvd Ste 200
Newport Beach, CA 92660-3048
Phone
(949) 887-7187
Fax
(949) 553-4136
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005335-1 NY
Physician Assistant 363A00000X PA55445 CA Primary

Addresses

Primary practice location

3991 Macarthur Blvd Ste 200
Newport Beach, CA 92660-3048

Mailing address

4232 Albany Post Rd
Hyde Park, NY 12538-1766
Phone (845) 229-8977

Other practice location 1

4232 Albany Post Rd
Hyde Park, NY 12538-1766
Phone (845) 229-8977

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190422001178 CA Practitioner - Physician Assistant 1355336892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un College of Osteopathic Medicine, Vallejo, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anywhere Clinic PCGroup PAC ID 5799297016, 4 clinicians

Practice addresses (Care Compare)

655 Redwood Hwy Frontage Rd
Suite 246
Mill Valley, CA 94941-3055
Phone (702) 848-2256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA55445CAMDPhysician Assistant
005335-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anywhere Clinic PC Physician Assistant CurrentSince Jul 31, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Trustees of Columbia University Dept of Obstetrics and Gynecology Past Accepting new patients

Locations

655 Redwood Hwy Frontage Rd
Ste 246
Mill Valley, CA 94941
Phone (415) 301-5000

4029 Dean Martin Dr
Las Vegas, NV 89103
Phone (702) 919-1508

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1851467013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381766",
            "telephone_number": "845-229-8977",
            "fax_number": "845-229-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 MACARTHUR BLVD STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603048",
            "telephone_number": "949-887-7187",
            "fax_number": "949-553-4136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4232 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "NY",
            "postal_code": "125381766",
            "country_code": "US",
            "telephone_number": "845-229-8977",
            "fax_number": "845-229-8930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ROXANA",
        "name_prefix": "Ms.",
        "credential": "MPAS, P.A.-C, CHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005335-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.