CONNOR DAVID SHATZ MD
NPI 1285485409
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 27, 2024PECOS Enrolled
1200 N STATE ST RM CT-A7D, LOS ANGELES, CA 90089(323) 409-6225 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Connor David Shatz Md NPPES

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

CONNOR DAVID SHATZ MD (NPI 1285485409) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285485409
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR DAVID SHATZCredential: MD
Location Address1200 N STATE ST RM CT-A7DLos Angeles, CA 90089-1001
Mailing Address1200 N State St Rm Ct-a7dLos Angeles, CA 90089-1001 · (323) 409-6225
Sole ProprietorNo
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
NPI 1285485409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST RM CT-A7D, Los Angeles, CA 90089

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Connor David Shatz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM CT-A7D
LOS ANGELES, CA 90089

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 Connor Shatz's NPI number?

The NPI number for Connor Shatz is 1285485409. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Connor Shatz located?

Connor Shatz practices at 1200 N State St Rm Ct-A7d, Los Angeles, CA 90089. The listed phone number is (323) 409-6225.

What is Connor Shatz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Connor Shatz enrolled in Medicare?

Yes. Connor Shatz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Shatz was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.