Physician Compare National (NPI:1093726663)

HEALTHCARE PROVIDER: SYLVIA J SHAW MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1093726663
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901982362
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080325000645
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHAW
	Individual professional last name
Provider First Name	SYLVIA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3621 MARTIN LUTHER KING JR BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 6
	Group Practice or individual's line 2 address
City	LYNWOOD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902623512
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050104
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050717
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y