DR. VINCENT STEPHEN SHALLOW MD NPI 1770783052

NPI Information

NPI: 1770783052
Provider Name: DR. VINCENT STEPHEN SHALLOW, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
2095 LYNX WAY
SAN MARCOS, CA
ZIP 92078
Phone: (760) 304-0226
Get Directions

DR. Vincent Stephen Shallow, MD is an urology in San Marcos, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Vincent Stephen Shallow, MD NPI is 1770783052. 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:

2095 LYNX WAY
SAN MARCOS, CA
ZIP 92078-905
Phone: (760) 304-0226

The enumeration date for this NPI number is 7/24/2007 and was last updated on 8/19/2013.

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	License Number	License State	Primary
1	208800000X	Urology	123271	NEW YORK	No
2	208800000X	Urology	MD-16910	HAWAII	No
3	208800000X	Urology	A31633	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	2157538	OTHER	CALIFORNIA	MEDI-CAL

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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