Michael J Shaw, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

G39931 Issued in CA

Practice address

4950 Barranca Pkwy
Suite 103C
Irvine, CA 92604-4671

Phone

(949) 552-8585

Fax

(949) 552-8615

NPI assigned

May 3, 2006

Last updated

Sep 7, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Irvine Family Medicine, Inc.

  • Primary Care Clinic/Center
  • Irvine, CA
  • NPI 1831291665

  Adult Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1952369225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3699",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598699",
            "telephone_number": "949-552-8585",
            "fax_number": "949-552-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY",
            "address_2": "SUITE 103C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044671",
            "telephone_number": "949-552-8585",
            "fax_number": "949-552-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G39931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Houk-Syau, M.D., Inc.
• Donald Lee Sharps, M.D.
• Sheherezad Shashaani, LMFT
• Julia F. Shaull, LCSW, BCBA
• Makenna Lynn Shaver
• Michael Shiangsu Shaw, DDS., MSD.
• Nayaab Naseer Shawl
• Shawn H. Hamilton, M.D.,Inc.
• Shawn H. Hamilton, M.D.,Inc.
• Kaitlyn Shay

• Adult Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.