SAMUEL MARK SHAPIRO (NPI# 1760619936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760619936 |
| Entity Type | Individual |
| Full Name | SAMUEL MARK SHAPIRO |
| Credential | M.D. |
| Practice Address |
225 S Lake Ave Suite 535 Pasadena CA 91101-3005 |
| Practice Telephone | 6267956596 |
| Practice Fax Number | 6267968247 |
| Mailing Telephone | 6267956596 |
| Mailing Fax Number | 6267968247 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2010-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
G43276 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194237073 | Samuel Reid Shapiro | Social Worker | 3001 International Blvd, Oakland, CA 94601-2203 | 2017-10-31 |
| 1851754519 | Samuel Elliot Shapiro | Internal Medicine | 665 Duluth Hwy, 401, Lawrenceville, GA 30046-3328 | 2016-03-31 |
| 1003234725 | Samuel Shapiro | Specialist | 2145 S Military Hwy, Chesapeake, VA 23320-4426 | 2014-03-31 |
| 1841593787 | Samuel Shapiro | Psychiatry & Neurology | 1433 Fairfield Dr, Austin, TX 78758-7244 | 2010-12-15 |
| Street Address |
225 S LAKE AVE SUITE 535 |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962459347 | Emil Saify | Anesthesiology | 225 S Lake Ave, 535, Pasadena, CA 91101-3005 | 2006-05-30 |
| 1255932778 | Jennifer Marie Estevez | Technician, Other | 225 S Lake Ave, Pasadena, CA 91101-3005 | 2020-11-02 |
| 1891346904 | Denise Martinez | Behavior Technician | 225 S Lake Ave, Pasadena, CA 91101-3005 | 2019-09-20 |
| 1780927368 | Sylvia Ashour Md Inc | Anesthesiology | 225 S Lake Ave, Ste 535, Pasadena, CA 91101-3005 | 2013-04-01 |
| 1548467962 | Nicholas Namwon Back | Anesthesiology | 225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005 | 2007-06-29 |
| 1144425141 | Eric Bergstrom | Anesthesiology | 225 S Lake Ave, 535, Pasadena, CA 91101-3005 | 2007-06-19 |
| 1912102252 | Brett Ray Brodersen | Anesthesiology | 225 S Lake Ave, 535, Pasadena, CA 91101-3005 | 2007-06-18 |
| 1649390873 | Deborah Boatwright Edgar | Marriage & Family Therapist | 225 S Lake Ave, Suite 300, Pasadena, CA 91101-3005 | 2007-03-30 |
| 1144239492 | David A. Blake M.d. Inc. | Anesthesiology | 225 S Lake Ave, Suite 225, Pasadena, CA 91101-3005 | 2006-08-05 |
| 1326054255 | David Allen Blake | Anesthesiology | 225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528513140 | Malcolm John Wehrle Md, A Professional Corporation | Anesthesiology | 1111 S Arroyo Pkwy, Pasadena, CA 91105-3254 | 2016-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910002 | Physician Anesthesiology Consultants | Anesthesiology | 1600 Rosecrans Ave Fl Center4, Manhattan Beach, CA 90266-3708 | 2020-07-24 |
| 1225300635 | Robert R Kutzner | Anesthesiology | 14591 Newport Ave Ste 100, Tustin, CA 92780-6026 | 2012-01-31 |
| 1275777823 | Johnson First Care Inc | Anesthesiology | 1234 Frussel, #278, Los Angles, CA 90211-3577 | 2009-04-27 |
| 1598903783 | Dr Dorodny Inc | Anesthesiology | 30765 Pacific Coast Hwy, Suite 285, Malibu, CA 90265-3646 | 2009-01-27 |
| 1396958757 | Jack Friedman | Anesthesiology | 2625 W. Alameda Ave, Suite 514, Burbank, CA 91505-4806 | 2007-05-08 |
| 1689600041 | Joseph Angelo Cabaret | Anesthesiology | 601 E Daily Dr, Suite 228, Camarillo, CA 93010-5806 | 2006-06-25 |
| 1013954130 | Gregory Alan Smith | Anesthesiology | 5680 N Fresno St Ste 105, Fresno, CA 93710-8331 | 2006-05-31 |
| 1386173698 | Susan T Koo | Anesthesiology | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2017-06-08 |
| 1376071282 | Pacific United Anesthesia and Critical Care Associates | Anesthesiology | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2017-05-23 |
| 1821533696 | South County Addiction Treatment Services, Inc. | Anesthesiology | 148 W Avenida San Antonio, San Clemente, CA 92672-4354 | 2017-01-03 |
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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.