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DR. DAVID MARK SHAVELLE M.D. NPI 1154315919


NPI Information

NPI: 1154315919
Provider Name: DR. DAVID MARK SHAVELLE, M.D.
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
3828 SCHAUFELE AVE STE 200
LONG BEACH, CA
ZIP 90808
Phone: (657) 241-8990
Get Directions

DR. David Mark Shavelle, M.D. is an interventional cardiology internal medicine in Long Beach, CA with 30 years of experience. The provider is 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. DR. David Mark Shavelle, M.D. NPI is 1154315919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

3828 SCHAUFELE AVE STE 200
LONG BEACH, CA
ZIP 90808-793
Phone: (657) 241-8990
Fax: (714) 665-4664

The NPI 1154315919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)

The enumeration date for this NPI number is 9/8/2005 and was last updated on 7/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA54834CALIFORNIANo
2207RC0000XInternal MedicineCardiovascular DiseaseA54834CALIFORNIANo
3207RI0011XInternal MedicineInterventional CardiologyA54834CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0100430OTHERCALIFORNIAGROUP MEDICAL
2W14940OTHERCALIFORNIAHARBOR-UCLA FACULTY PRACTICE PLAN, A MEDICAL GROUP INC.
300A548340MEDICAIDCALIFORNIA
41902846306OTHERCALIFORNIAGROUP NPI
5P00097660OTHERCALIFORNIAMEDICARE RAILROAD
6W18762OTHERCALIFORNIAGROUP MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.