DR. DAVID MARK SHAVELLE


Address: 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793
Phone: 6572418990

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 3828 SCHAUFELE AVE STE 200
City LONG BEACH
State CA
Zip Code 90808-1793

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City LONG BEACH
Zip Code 90808

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Dataset Information

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.

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