Provider Type Icon

JASON SHUPE D.O. NPI 1679914469


NPI Information

NPI: 1679914469
Provider Name: JASON SHUPE, D.O.
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
554 E FOOTHILL BLVD STE 120
SAN DIMAS, CA
ZIP 91773
Phone: (909) 248-3437
Get Directions

Jason Shupe, D.O. is a neuromusculoskeletal medicine omm in San Dimas, CA with 11 years of experience. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. Jason Shupe, D.O. NPI is 1679914469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduation Year:2013

The provider's business location address is:

554 E FOOTHILL BLVD STE 120
SAN DIMAS, CA
ZIP 91773-222
Phone: (909) 248-3437
Fax: (844) 380-6565

The NPI 1679914469 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 7/10/2013 and was last updated on 12/1/2021.


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
1207Q00000XFamily Medicine20A13620CALIFORNIANo
2204D00000XNeuromusculoskeletal Medicine & OMM20A13620CALIFORNIAYes

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: 11/14/2023

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.