Individual provider Active NPI

Shahira Elsherif McElhanon

  • Sports Physician Chiropractor
  • Camarillo, CA
National Provider Identifier
1952742819
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC29050 Issued in CA
Practice address
1000 Paseo Camarillo
Suite 118
Camarillo, CA 93010-6021
Phone
(805) 482-3131
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC29050 CA Primary

Addresses

Primary practice location

1000 Paseo Camarillo
Suite 118
Camarillo, CA 93010-6021

Mailing address

1000 Paseo Camarillo
Suite 118
Camarillo, CA 93010-6021
Phone (805) 482-3131

Other identifiers 1

IdentifierTypeStateIssuer
1205980067OtherCAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170116000324 CA Practitioner - Chiropractic 6709822356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Chiropractic Professional CorporationGroup PAC ID 6002852654, 2 clinicians

Practice addresses (Care Compare)

1000 Paseo Camarillo
Suite 118
Camarillo, CA 93010-0722
Phone (805) 482-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29050CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Long Chiropractic Professional Corporation CurrentSince Feb 7, 2005 Accepting new patients

Locations

24009 Ventura Blvd
Ste 235
Calabasas, CA 91302
Phone (818) 591-8847

24007 Ventura Blvd
Ste 130
Calabasas, CA 91302
Phone (818) 591-8847

1000 Paseo Camarillo
Ste 118
Camarillo, CA 93010
Phone (805) 419-4234

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1952742819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO",
            "address_2": "SUITE 118",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106021",
            "telephone_number": "805-482-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO",
            "address_2": "SUITE 118",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106021",
            "telephone_number": "805-482-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELHANON",
        "first_name": "SHAHIRA",
        "middle_name": "ELSHERIF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC29050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1205980067",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.

Verify at the official NPI Registry.