DR. DAVID MARK SHAVELLE (NPI# 1154315919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154315919 |
Entity Type | Individual |
Full Name | DR. DAVID MARK SHAVELLE |
Credential | M.D. |
Practice Address |
3828 Schaufele Ave Ste 200 Long Beach CA 90808-1793 |
Practice Telephone | 6572418990 |
Practice Fax Number | 7146654664 |
Mailing Telephone | 6572418990 |
Mailing Fax Number | 7146654664 |
Enumeration Date | 2005-09-08 |
Last Update Date | 2020-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | A54834 | CA | Other Service Providers |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A54834 | CA | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A54834 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GROUP MEDICAL | GR0100430 | 01 |
CA | HARBOR-UCLA FACULTY PRACTICE PLAN, A MEDICAL GROUP INC. | W14940 | 01 |
CA | 00A548340 | 05 | |
CA | GROUP NPI | 1902846306 | 01 |
CA | MEDICARE RAILROAD | P00097660 | 01 |
CA | GROUP MEDICARE | W18762 | 01 |
Street Address |
3828 SCHAUFELE AVE STE 200 |
City | LONG BEACH |
State | CA |
Zip Code | 90808-1793 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942723994 | Yumi Mendez-ishizaki | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2017-07-21 |
1851786156 | Van Quoc Pham | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2015-04-02 |
1124431374 | Deborah Karm | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2014-06-05 |
1992116388 | Briana Livingston | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2014-05-19 |
1487065215 | Shelly Dutt | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2014-05-14 |
1447516513 | Joshua Snodgrass | Family Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2012-04-03 |
1275837205 | Jimmy Johannes | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2011-01-05 |
1891012860 | Christopher Yee | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-29 |
1861719486 | Thomas Jiang | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-21 |
1154580074 | Aditya Sudnagunta Prasad | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2008-06-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
Find all providers in zip 90808 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
Find all providers with the same taxonomy |
City | LONG BEACH |
Zip Code | 90808 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.