DR. CLARENCE L SHIELDS JR. M.D.
NPI 1245201938
Orthopaedic Surgery - Sports Medicine in Los Angeles, CA
NPI Status: Active since January 30, 2006
Contact Information
6801 PARK TER
LOS ANGELES, CA
ZIP 90045
Phone: (310) 665-7228
Fax: (310) 641-3978
- Individual
- Male
- Orthopaedic Surgery
- Sports Medicine
- PECOS Enrolled
- Opted-Out Medicare
About CLARENCE SHIELDS
This page provides the complete NPI Profile along with additional information for Clarence Shields, a provider established in Los Angeles, California with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1245201938 assigned on January 2006. The practitioner's primary taxonomy code is 207XX0005X with license number C29184 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1245201938
- Provider Name
- DR. CLARENCE L SHIELDS JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6801 PARK TER LOS ANGELES, CA 90045
- Location Phone
- (310) 665-7228
- Location Fax
- (310) 641-3978
- Mailing Address
- 6801 PARK TER LOS ANGELES, CA 90045
- Mailing Phone
- (310) 665-7228
- Mailing Fax
- (310) 641-3978
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-30-2006
- Last Update Date
- 08-27-2021
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Clarence Shields opted out of Medicare effective on 04-01-2015 until 04-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C29184
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | C29184 (CA) |
Medicare Participation & PECOS Enrollment Status
Clarence Shields is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2015
Opt-Out End Date: 04-01-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. CLARENCE L SHIELDS JR. M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245201938, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90045
LOS ANGELES, CA 90045
LOS ANGELES, CA 90045
LOS ANGELES, CA 90045
LOS ANGELES, CA 90045
LOS ANGELES, CA 90045
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245201938, enumerated as an "individual" on January 30, 2006.
The provider is located at 6801 PARK TER LOS ANGELES, CA 90045 and the phone number is (310) 665-7228.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
