SHAW MEDICAL GROUP PROFESSIONAL CORPORATION (NPI# 1306213889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306213889 |
| Entity Type | Organization |
| Organization Name | SHAW MEDICAL GROUP PROFESSIONAL CORPORATION |
| Other Organization Name | REGAL FAMILY PRACTICE MEDICAL CENTER |
| Practice Address |
1001 W Carson St Suite I Torrance CA 90502-2051 |
| Practice Telephone | 3105339233 |
| Practice Fax Number | 3105339292 |
| Mailing Telephone | 3105339233 |
| Mailing Fax Number | 3105339292 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | DR. BETSY ALCID SHAW (PRESIDENT) |
| Authorized Official Telephone | 3105339233 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
A42535 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| REGAL FAMILY PRACTICE MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298685 | Shaw Medical Group Professional Corporation | Family Medicine | 1001 W Carson St Ste I, Torrance, CA 90502-2051 | 2019-07-25 |
| 1376098343 | Shaw Medical Group Professional Corporation | Clinic/Center | 1001 W Carson St, Suite I, Torrance, CA 90502-2051 | 2016-08-19 |
| Street Address |
1001 W CARSON ST SUITE I |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053394858 | Benete Medical Supply | Durable Medical Equipment & Medical Supplies | 1001 W Carson St, Suite L, Torrance, CA 90502-2051 | 2005-11-25 |
| 1306389234 | Monisha Garner | Naturopath | 1001 W Carson St, E, Torrance, CA 90502-2051 | 2016-11-25 |
| 1376098343 | Shaw Medical Group Professional Corporation | Clinic/Center | 1001 W Carson St, Suite I, Torrance, CA 90502-2051 | 2016-08-19 |
| 1093167132 | Regal Mignon Shaw | Registered Nurse | 1001 W Carson St, Suite I, Torrance, CA 90502-2051 | 2016-07-12 |
| 1306210869 | Lois Atwater | Massage Therapist | 1001 W Carson St, Ste. E, Torrance, CA 90502-2051 | 2015-11-20 |
| 1912225459 | Dynamics Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1001 W Carson St, Suite L, Torrance, CA 90502-2051 | 2010-05-07 |
| 1629190087 | Jin H. Yang Dds,inc | Dentist | 1001 W Carson St, Unit G, Torrance, CA 90502-2051 | 2007-04-05 |
| 1225173677 | Li Zhang | Acupuncturist | 1001 W Carson St, #m, Torrance, CA 90502 | 2007-02-21 |
| 1467541615 | Universal Care | Clinic/Center | 1001 W Carson St, Suite E, Torrance, CA 90502-2051 | 2006-10-12 |
| 1609977636 | John Joseph Curtius | Pharmacist | 1001 W Carson St, Suite D, Torrance, CA 90502-2051 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.