1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Radiology
  6. NPI Profile

MICHAEL DIXON SHANE M.D.
NPI 1154401990
Radiology - Diagnostic Radiology in Santa Rosa, CA

Active since October 16, 2006
121 SOTOYOME ST, SANTA ROSA, CA 95405(707) 546-4062(707) 578-6258 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Dixon Shane M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL DIXON SHANE M.D. (NPI 1154401990) is an individual diagnostic radiology provider in Santa Rosa, California, licensed in California (C30136) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1154401990
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMICHAEL DIXON SHANECredential: M.D.
Location Address121 SOTOYOME STSanta Rosa, CA 95405-4823
Mailing Address121 Sotoyome StSanta Rosa, CA 95405-4823 · (707) 546-4062 · Fax (707) 578-6258
Phone(707) 546-4062
Fax(707) 578-6258
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 7, 2009
✔ NPI 1154401990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · C30136
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License C30136 (CA)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License C30136 (CA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License C30136 (CA)
121 SOTOYOME ST, Santa Rosa, CA 95405
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified00C301360
Medicaid00C301360CA
Medicare UPINA34127

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID HOWARD SCHMIDT M.D.
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
DR. SHAWN DALY MD
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
EDWARD THEODORE EVANS M.D.
Radiology (Diagnostic Ultrasound)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
BRENDAN BOTTARI M.D.
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
JOHN JOSEPH MCGOVERN M.D.
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
DOUGLAS A MUNRO M.D.
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
DR. ALEXANDER PAGE M.D.
Radiology (Vascular & Interventional Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 525-4003
MITESH PATEL M.D.
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Shane's NPI number?

The NPI number for Michael Shane is 1154401990. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Michael Shane located?

Michael Shane practices at 121 Sotoyome St, Santa Rosa, CA 95405. The listed phone number is (707) 546-4062.

What is Michael Shane's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Michael Shane was last updated on July 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.