Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRAVIN SHAW, D.O.
Active Sole ProprietorDR. PRAVIN SHAW, D.O. is a Family Medicine healthcare provider located in COSTA MESA, California. NPI 1407136187 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · COSTA MESA, CA
Registration Details
- NPI Number
- 1407136187
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2011 (14.982922604075 yrs)
- Last Updated
- Aug 1, 2013
- License
-
20A11805 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1190 BAKER ST STE 100COSTA MESA, CA, 926264105Browse CA providers · Browse ZIP 92626
- Phone
- 7146682500
- Fax
- 7146682515
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in COSTA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| MAYO J STEIGLER | MD | 1205837911 |
| DR. DAVID K CHUN | MD | 1932199213 |
| DR. JOSEPH HOREJSI | MD | 1295726347 |
| DR. ENA M KARIYA | MD | 1588655658 |
| DR. ADAM M WASS | M.D. | 1831140938 |
| DR. JAMES HOMER FERGUSON | DO | 1689625212 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.