Organization Active NPI

Saulena Shafer D.O., Inc.

  • Neurology Physician
  • Newport Beach, CA
National Provider Identifier
1972072999
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SAULENA SHAFER D.O., INC.
Practice address
510 Superior Ave Ste 200a
Newport Beach, CA 92663-3664
Phone
(951) 203-1823
NPI assigned
Nov 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Saulena Sylvia Shafer, DO
Title
Owner/President
Phone
(951) 203-1823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

510 Superior Ave Ste 200a
Newport Beach, CA 92663-3664

Mailing address

3235 Grand Canal
Irvine, CA 92620-1707
Phone (951) 203-1823

National Provider Directory

National Provider Directory

Locations

15000 Kensington Park Dr
Ste 270
Tustin, CA 92782
Phone (714) 543-9855

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1972072999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 GRAND CANAL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201707",
            "telephone_number": "951-203-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE STE 200A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633664",
            "telephone_number": "951-203-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAULENA SHAFER D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "SAULENA",
        "authorized_official_middle_name": "SYLVIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "951-203-1823",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.