Organization Active NPI

Jonathan E Shaywitz MD Inc

  • Psychiatry Physician
  • Laguna Beach, CA
National Provider Identifier
1861866741
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JONATHAN E SHAYWITZ MD INC
Practice address
31872 Coast Hwy
Laguna Beach, CA 92651-6773
Phone
(949) 499-1311
Fax
(951) 600-7626
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Jonathan E Shaywitz, MD
Title
Ceo
Phone
(310) 697-6865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

31872 Coast Hwy
Laguna Beach, CA 92651-6773

Mailing address

24310 Moulton Pkwy
Suite O #563
Laguna Hills, CA 92637-3306
Phone (949) 680-4500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1861866741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24310 MOULTON PKWY",
            "address_2": "SUITE O #563",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926373306",
            "telephone_number": "949-680-4500",
            "fax_number": "951-600-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31872 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516773",
            "telephone_number": "949-499-1311",
            "fax_number": "951-600-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN E SHAYWITZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "SHAYWITZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-697-6865",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.