Active NPI
Philip D Shelton, M.D.
- Diagnostic Radiology Physician
- Yuba City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G58964
- Practice address
- 440 Plumas Blvd
Yuba City, CA 95991-5071 - Phone
- (530) 799-3301
- Fax
- (530) 749-3496
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G58964 | CA | Primary |
Addresses
Primary practice location
440 Plumas Blvd
Yuba City, CA 95991-5071
Mailing address
10470 Old Placerville Rd
#100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300106518 | Other | MEDICARE ID | |
| 00G589640 | Medicaid | CA | |
| 300130622 | Other | MEDICARE ID |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457
2800 L St
Sacramento, CA 95816-5616
440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409
444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420
460 Plumas Blvd
Yuba City, CA 95991-5005
Phone (530) 741-1400
470 Plumas Blvd
Suite 201
Yuba City, CA 95991-5077
Phone (530) 741-3358
480 Plumas Blvd
Yuba City, CA 95991-5005
Phone (530) 749-3500
550 B St
Yuba City, CA 95991-5067
Phone (530) 749-3650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G58964 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Diagnostic Radiology | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients |
Locations
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
Interoperability endpoints
- pshelton204674@hisp.ehr.sutterhealth.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1881672392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "#100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 PLUMAS BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959915071",
"telephone_number": "530-799-3301",
"fax_number": "530-749-3496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "PHILIP",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G58964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "300106518",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G589640",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "300130622",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.