Shane James Shepard, MD
Shane James Shepard, MD is a Family Practice in Ventura, California. Qualified in 2011, 15 years ago. Practices with Providence Medical Institute, a 336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 15
- Licensed in
- CA
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Ventura, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A130296 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1962798066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 27, 2011 |
| Last updated in NPPES | July 27, 2021 |
| Certification date | July 27, 2021 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Providence Medical Institute — 336 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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