PHILIP S SHORE MD NPI 1295750529

NPI Information

NPI: 1295750529
Provider Name: PHILIP S SHORE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
18546 ROSCOE BLVD
SUITE 230
NORTHRIDGE, CA
ZIP 91324
Phone: (818) 886-1100
Get Directions

Philip S Shore, MD is a family medicine in Northridge, CA. The provider is 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. Philip S Shore, MD NPI is 1295750529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18546 ROSCOE BLVD
SUITE 230
NORTHRIDGE, CA
ZIP 91324-663
Phone: (818) 886-1100
Fax: (818) 886-7501

The NPI 1295750529 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 enumeration date for this NPI number is 7/13/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		G071824	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W17192	MEDICARE UPIN	CALIFORNIA
2	W16958	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	00G718240	OTHER	CALIFORNIA	BLUE SHIELD
4	WG71824C	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE PPIN

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

NPI Synchronization or Removal

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