Jon D Shanser, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G19161 Issued in CA

Practice address

900 Hyde St
San Francisco, CA 94109-4806

Phone

(415) 353-6390

Fax

(415) 353-6396

NPI assigned

Jun 3, 2006

Last updated

Jul 27, 2009By 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

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.

• Bay Area Radiologists, a Medical Group

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1689628836
  NPD (past)
• California Advanced Imaging Medical Associates Inc

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1881646909
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1972541761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-3404",
            "fax_number": "415-883-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HYDE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094806",
            "telephone_number": "415-353-6390",
            "fax_number": "415-353-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANSER",
        "first_name": "JON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G19161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "300062394",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G191610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Suzanne Shannon, ND
• Kevin M. Shannon, M.D.
• Linda Marie Shannon, PSY.D., CRC
• Maureen T. Shannon, RN NP
• Tara Shannon
• Jessica Gowramma Shantha, M.D.
• Shanti Das Shanti, PHD, DDS, MPH
• Jesse Alan Shantz, M.D., M.B.A.
• Helen Shao, MS.RD
• Jennifer Shao

• Diagnostic Radiology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.