Provider Demographics
NPI:1366464802
Name:SHAPIRO, WILLIAM A (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3098
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93130-3098
Mailing Address - Country:US
Mailing Address - Phone:805-569-8922
Mailing Address - Fax:805-687-5467
Practice Address - Street 1:230 W PUEBLO ST
Practice Address - Street 2:SUITE A
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3870
Practice Address - Country:US
Practice Address - Phone:805-569-8922
Practice Address - Fax:805-687-5467
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC32692207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0040970Medicaid
CA110235656OtherRR MEDICARE
CAWC32692BMedicare PIN
CAGR0040970Medicaid
CAF08767Medicare UPIN