MICHAEL S SHAUB (NPI# 1700869203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700869203 |
| Entity Type | Individual |
| Full Name | MICHAEL S SHAUB |
| Credential | MD |
| Practice Address |
555 E Hardy St Centinela Hospital Medical Center Inglewood CA 90301 |
| Mailing Address |
Po Box 5686 Orange CA 92863-5686 |
| Practice Telephone | 3106734660 |
| Mailing Telephone | 8885988819 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2008-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G16831 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD | 00G168310 | 01 | |
| CALOPTIMA | 00G168310E02 | 01 | |
| TRAILBLAZER | 050739CA39924 | 01 | |
| RAILROAD MEDICARE | 360002809 | 01 | |
| CA | 00G168310 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033421466 | Michael Craig Shaub | Chiropractor | 5512 Old Hickory Blvd, Hermitage, TN 37076-2576 | 2010-07-14 |
| 1518309566 | Michael A Shaub | Internal Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2013-07-18 |
| 1659301497 | Michael R Shaub | Chiropractor | 13830 San Pablo Ave, San Pablo, CA 94806-3758 | 2006-07-04 |
| Street Address |
555 E HARDY ST CENTINELA HOSPITAL MEDICAL CENTER |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568663 | Sheryl Lynn Chow | Pharmacist | 555 E Hardy St, Dept of Pharmacy (rm 2087, 4th Floor Office), Inglewood, CA 90301-4011 | 2005-06-16 |
| 1255959268 | Nathaniel Colm Chase | Nurse Practitioner | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-07-07 |
| 1467077925 | Cam-thi Le | Pharmacist | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-06-10 |
| 1528691920 | Linda Justice Ruttlen | Registered Nurse | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-02-14 |
| 1447881818 | Noelle Smith | Registered Nurse | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-02-04 |
| 1932731320 | Jerome L Clayton | Social Worker | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-02-04 |
| 1003447772 | Tamaiah Thompson | Social Worker | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-01-30 |
| 1770114456 | Laina Evelyn Sato | Registered Nurse | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-01-30 |
| 1376174276 | Kisha Dionne Estis | Registered Nurse | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-01-29 |
| 1205467404 | Joanna P Alcocer | Social Worker | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316920895 | Andrew P Kelly | Radiology | 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2005-11-29 |
| 1639323314 | Nick Dzebolo Md Inc | Radiology | 301 N Prairie Ave, #125, Inglewood, CA 90301-4507 | 2008-11-07 |
| 1275575557 | Arash David Tehranzadeh | Radiology | 555 E Hardy St, Inglewood, CA 90301-4011 | 2006-06-12 |
| 1689615437 | John Bernard Braunstein | Radiology | 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301-4011 | 2006-06-10 |
| 1184603128 | Craig J Gomberg | Radiology | 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2006-01-10 |
| 1497732911 | Michael J Dawson | Radiology | 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2005-12-27 |
| 1942284781 | Dipak J Ranparia | Radiology | 323 N Prairie Ave, Suite 114, Inglewood, CA 90301-4502 | 2005-12-05 |
| 1518941616 | Donald S Mayekawa | Radiology | 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2005-12-01 |
| 1073596557 | Donald C Boger | Radiology | 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301-4011 | 2005-11-29 |
| 1861475352 | Centinela Radiology Medical Group | Radiology | 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301-4011 | 2005-11-29 |
| Find all providers in INGLEWOOD | ||||
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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.