STEVEN R. SHACKFORD MD PC NPI 1841623865

NPI Information

NPI: 1841623865
Provider Name: STEVEN R. SHACKFORD MD PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
550 WASHINGTON ST.
SUITE 641
SAN DIEGO, CA
ZIP 92103
Phone: (619) 299-2600
Get Directions

STEVEN R. SHACKFORD MD PC is a vascular surgery surgery in San Diego, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. STEVEN R. SHACKFORD MD PC NPI is 1841623865. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

550 WASHINGTON ST.
SUITE 641
SAN DIEGO, CA
ZIP 92103-229
Phone: (619) 299-2600
Fax: (619) 299-3923

The provider's authorized official is Steven R Shackford .
The authorized official title is Owner/president and has the following contact phone number (619) 299-2600.

The enumeration date for this NPI number is 8/13/2013 and was last updated on 8/13/2013.

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	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		G29279	CALIFORNIA	No
2	2086S0129X	Surgery	Vascular Surgery	G29279	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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