JASON SHUPE (NPI# 1679914469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679914469 |
| Entity Type | Individual |
| Full Name | JASON SHUPE |
| Credential | D.O. |
| Practice Address |
554 E Foothill Blvd Ste 120 San Dimas CA 91773-1222 |
| Practice Telephone | 9092483437 |
| Practice Fax Number | 8443806565 |
| Mailing Telephone | 9092483437 |
| Mailing Fax Number | 8443806565 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2019-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A13620 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27107 Tourney Rd, Santa Clarita, CA 913551860 | 8887785000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510431 | Jason Jerome Shupe | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2018-09-04 |
| Street Address |
554 E FOOTHILL BLVD STE 120 |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992366223 | Jason Shupe, D.o., An Osteopathic Corporation | Clinic/Center | 554 E Foothill Blvd Ste 120, San Dimas, CA 91773-1222 | 2019-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357038 | Jerry G Han | Family Medicine | 4733 Valley Center Ave, San Dimas, CA 91773-3530 | 2020-02-09 |
| 1588140008 | Lord Listowel Listowel Addo-yirenkyi | Family Medicine | 325 S San Dimas Canyon Rd, Apt 119, San Dimas, CA 91773-3065 | 2018-07-17 |
| 1568610483 | Nina Nanda Vadecha | Family Medicine | 1255 West Arrow Hwy, Southern California Permanente Medical Group, San Dimas, CA 91773 | 2008-09-04 |
| 1679758171 | William Jacob Pevsner | Family Medicine | 1334 W Covina Blvd Ste 103, San Dimas, CA 91773-3211 | 2008-01-02 |
| 1386721959 | Rosanna Iskander Md Inc. | Family Medicine | 1330 W Covina Blvd Ste 102, San Dimas, CA 91773 | 2006-11-01 |
| 1104856947 | San Dimas Family Care Inc. | Family Medicine | 150 W. Foothill Blvd., San Dimas, CA 91773-1102 | 2006-07-04 |
| 1639112386 | Maria J Dunton | Family Medicine | 554 E Foothill Blvd, Ste 103, San Dimas, CA 91773-1222 | 2006-06-13 |
| 1518909761 | Paul William Willis Jr. | Family Medicine | 1305 W. Arrow Hwy., Ste.106, San Dimas, CA 91773 | 2006-06-12 |
| 1235191131 | Norma E Bachoura | Family Medicine | 150 W Foothill Blvd, San Dimas, CA 91773-1102 | 2006-04-05 |
| 1902898695 | David Don Seilar Proum | Family Medicine | 1255 W Arrow Hwy, San Dimas, CA 91773-2340 | 2005-08-18 |
| Find all providers in SAN DIMAS | ||||
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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.