Daniel G Shepherd, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA13168 Issued in CA

Practice address

44216 10TH St W
Lancaster, CA 93534-4134

Phone

(661) 723-7416

Fax

(661) 723-9975

NPI assigned

Jul 2, 2006

Last updated

Jul 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Joseph M Molina MD Professional Corporation - Southern California

  dba Golden Shore Medical Group

  • Obstetrics & Gynecology Physician
  • Ontario, CA
  • NPI 1710478177
  NPD (past)
• Joseph M Molina MD Professional Corporation-Southern California

  • Family Medicine Physician
  • Wilmington, CA
  • NPI 1982976692
  NPD (past)
• Molina Healthcare of California

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1073628202
  NPD (past)
• Molina Healthcare of California

  dba Molina Medical Centers

  • Health Maintenance Organization
  • Long Beach, CA
  • NPI 1194811760
  NPD (past)
• Molina Healthcare of California

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1841305075
  NPD (past)
• Molina Medical Centers

  • Family Medicine Physician
  • Colton, CA
  • NPI 1114032448
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1952330763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024302",
            "telephone_number": "562-499-6191",
            "fax_number": "562-499-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44216 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344134",
            "telephone_number": "661-723-7416",
            "fax_number": "661-723-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "DANIEL",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA13168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "PA13168",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA13168",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shade Shelton, DPT
• Sheila Renee Shelton, REGISTER NURSE
• Hong Shen, M.D.
• Rana S Shenoy, M.D.
• Aziza E Shepherd
• Patrick Chad Shepherd, M.D.
• Deborah Itzel Sherengo
• Justin J Sherfey, DO
• Fay Marie Sherwood, IMFT
• Shessosacred LLC

• Family Medicine Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.