Active NPI
Ronald Steven Shaw, D.C.
- Chiropractor
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-31188
- Practice address
- 12640 Hesperia Rd Ste D
Victorville, CA 92395-7753 - Phone
- (760) 684-4143
- Fax
- (760) 684-8111
- NPI assigned
- Mar 16, 2009
- Last updated
- Mar 31, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-31188 | CA | Primary |
Addresses
Primary practice location
12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Mailing address
12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone (760) 684-4143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12640 Hesperia Rd
Suite D
Victorville, CA 92395-7753
Phone (760) 684-4143
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moeller-Bertram Medical Corporation | Current | Accepting new patients | |
| Tobias Moeller-Bertram MD Corporation | Current | Accepting new patients | |
| Steven Shaw Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
| Tobias Moeller-Bertram MD Corporation | Current | Accepting new patients | |
| Goldstein Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| La Health & Wellness Medical Group | Past | Accepting new patients |
Locations
44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290
36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315
36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315
12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143
12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999
12830 Hesperia Rd
Ste C
Victorville, CA 92395
Phone (760) 684-8999
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1699586388
-
dba Lifekind Health
- Durable Medical Equipment & Medical Supplies
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- NPI 1861389199
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- NPI 1013089143
-
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- NPI 1790094555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1902047202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12640 HESPERIA RD STE D",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957753",
"telephone_number": "760-684-4143",
"fax_number": "760-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12640 HESPERIA RD STE D",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957753",
"telephone_number": "760-684-4143",
"fax_number": "760-684-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "RONALD",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-16",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-31188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.