John K Shaver (NPI# 1598765729, PAC ID# 5597775684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1598765729 |
| PAC ID by PECOS | 5597775684 |
| Professional Enrollment ID | I20110201000314 |
| Full Name | John K Shaver |
| Organization Legal Name | SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC. |
| Address |
24411 Health Ctr Dr Suite 350 Laguna Hills CA 92653-3687 |
| Phone Number | 9494577900 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8426945338 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 | 9494577900 | SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC. |
| Organization Legal Name | SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wang Teng | Vascular Surgery | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Robbin C Gonzales | Physician Assistant | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Louise Bacon | General Surgery | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Blake Andrew Ashley | General Surgery | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Rahul Sharma | Vascular Surgery | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Robert Allyn Duensing | Vascular Surgery | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Timothy J Patterson | Physician Assistant | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| William Campbell Wallace | General Surgery | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Jenivi M Lau | Physician Assistant | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Laura Yee | Physician Assistant | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Street Address |
24411 HEALTH CTR DR SUITE 350 |
| City | LAGUNA HILLS |
| State | CA |
| Zip | 92653-3687 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jagmeet S Mundi | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 24411 Health Ctr Dr, Suite 370, Laguna Hills, CA 92653-3687 |
| Christopher Yian | Otolaryngology | Orange County Ear, Nose, and Throat, Inc. | 24411 Health Ctr Dr, Suite 600, Laguna Hills, CA 92563-3687 |
| Vina Nguyen | Internal Medicine | Memorialcare Medical Foundation | 24411 Health Ctr Dr, Suite 680, Laguna Hills, CA 92653-3692 |
| Wang Teng | Vascular Surgery | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| James K Bredenkamp | Otolaryngology | Head and Neck Associates of Orange County An Incorprate | 24411 Health Ctr Dr, Suite 370, Laguna Hills, CA 92653-3687 |
| Robbin C Gonzales | Physician Assistant | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Ann Marie Raffo | Obstetrics/gynecology | Hoag Clinic | 24411 Health Ctr Dr, Suite 200, Laguna Hills, CA 92653-3633 |
| Linda H Chung | Obstetrics/gynecology | Saddleback Womens Medical Group A Medical Corporation | 24411 Health Ctr Dr, Suite 640, Laguna Hills, CA 92653-3633 |
| Louise Bacon | General Surgery | South Orange County Surgical Medical Group, Inc. | 24411 Health Ctr Dr, Suite 350, Laguna Hills, CA 92653-3687 |
| Kerry Christina Price | Obstetrics/gynecology | Hoag Clinic | 24411 Health Ctr Dr, Suite 200, Laguna Hills, CA 92653-3633 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C. Chang | Anesthesiology | West Coast Anesthesia of Pacific Hills | 24022 La Plata, Suite 180, Laguna Hills, CA 92653 |
| David G Woodward | Anesthesiology | West Coast Anesthesia of Pacific Hills | 24022 La Plata, Suite 180, Laguna Hills, CA 92653 |
| Jose D Fojas | Physical Therapy | Rehab Alliance | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 |
| Brooke Varon | Physical Therapy | Rehab Alliance | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 |
| Wendy U Tran | Optometry | 22972 Moulton Pkwy, Suite 104, Laguna Hills, CA 92653-1219 | |
| Sam Pourbabak | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Monica M Harms | General Practice | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Yaseen Kady | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Jill E Jones | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Sam Nosrati | Podiatry | Artisan Foot and Ankle Podiatric Specialists Inc | 23141 Moulton Pkwy, Suite 109, Laguna Woods, CA 92653-1241 |
| Find all physicians in zip 92653 | |||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LAGUNA HILLS + GENERAL SURGERY |
Please comment or provide details below to improve the information on John K Shaver.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.