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DR. CLARENCE L SHIELDS JR. M.D.
NPI 1245201938
Orthopaedic Surgery - Sports Medicine in Los Angeles, CA

Active since January 30, 2006Opted out of Medicare · through Apr 1, 2027
6801 PARK TER, LOS ANGELES, CA 90045(310) 665-7228(310) 641-3978 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2021, Mar 16, 2016 (2 updates tracked since 2016).

About Dr. Clarence L Shields Jr. M.d. NPPES

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

DR. CLARENCE L SHIELDS JR. M.D. (NPI 1245201938) is an individual sports medicine provider in Los Angeles, California, licensed in California (C29184) and active in the NPI registry since January 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245201938
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. CLARENCE L SHIELDS JR.Credential: M.D.
Location Address6801 PARK TERLos Angeles, CA 90045-1543
Mailing Address6801 Park TerLos Angeles, CA 90045-1543 · (310) 665-7228 · Fax (310) 641-3978
Phone(310) 665-7228
Fax(310) 641-3978
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1245201938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CA · C29184
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedSpecialistTaxonomy 174400000X · License C29184 (CA)
6801 PARK TER, Los Angeles, CA 90045
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Clarence L Shields Jr. M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

NICHOLAS MAGNUSSON
Physical Therapist
6801 PARK TER, SUITE 200
LOS ANGELES, CA 90045
Los Angeles County (805) 807-3843
KINJAL THAKKAR
Physician Assistant
6801 PARK TER
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7200
DR. FRANCIS MICHAEL YAMAZAKI M.D.
Anesthesiology
6801 PARK TER, SUITE #300
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7150
RONALD S KVITNE MD INC
Orthopaedic Surgery
6801 PARK TER, SUITE 500
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7216
SELECT PHYSICAL THERAPY HOLDINGS INC
Clinic/Center (Rehabilitation)
6801 PARK TER, FL2
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7100
NED TAKAO SASAKI M.D.
Anesthesiology
6801 PARK TER, SUITE #300
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7150
KELLY ELIZABETH LEACH PT, DPT
Physical Therapist
6801 PARK TER
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7100
TYLER JAY PHILLIPS M.D.
Anesthesiology
6801 PARK TER, #300
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7150

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 Clarence Shields's NPI number?

The NPI number for Clarence Shields is 1245201938. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Clarence Shields located?

Clarence Shields practices at 6801 Park Ter, Los Angeles, CA 90045. The listed phone number is (310) 665-7228.

What is Clarence Shields's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Clarence Shields enrolled in Medicare?

No. Clarence Shields has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Clarence Shields was last updated on August 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.