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DR. PRAVIN SHAW D.O.
NPI 1407136187
Family Medicine in Costa Mesa, CA

Active since August 25, 2011PECOS EnrolledAccepts Medicare Assignment
1190 BAKER ST STE 100, COSTA MESA, CA 92626(714) 668-2500(714) 668-2515 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Pravin Shaw D.o. NPPES

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

DR. PRAVIN SHAW D.O. (NPI 1407136187) is an individual family medicine provider in Costa Mesa, California, licensed in California (20A11805) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1407136187
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PRAVIN SHAWCredential: D.O.
Location Address1190 BAKER ST STE 100Costa Mesa, CA 92626-4105
Mailing AddressPo Box 3699Newport Beach, CA 92659-8699 · (714) 668-2500 · Fax (714) 668-2515
Phone(714) 668-2500
Fax(714) 668-2515
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 25, 2011
Last NPPES UpdateAugust 1, 2013
✔ NPI 1407136187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A11805
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1190 BAKER ST STE 100, Costa Mesa, CA 92626
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pravin Shaw D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648413666
PECOS Enrollment IDI20130823000388
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Pravin Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Newport Urgent Care Incorporated
2.8 mi
Urgent Care
1000 BRISTOL ST N, STE 1B
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1114089513 (949) 752-6300
Brea Urgent Care Incorporated
17 mi
Urgent Care
395 WEST CENTRAL AVE, SUITE A
Brea, CA 92821
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1639413388 (949) 752-6300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

CONNIE PHAM DO
Family Medicine
1190 BAKER ST STE 100
COSTA MESA, CA 92626
Orange County (949) 791-3250
JOHN JEON MD
Family Medicine
1190 BAKER ST STE 100
COSTA MESA, CA 92626
Orange County (949) 791-3250
DR. TRUCVY HOANG LE M.D.
Family Medicine
1190 BAKER ST STE 100
COSTA MESA, CA 92626
Orange County (949) 791-3250
DR. HAU DO MD
Family Medicine
1190 BAKER ST STE 100
COSTA MESA, CA 92626
Orange County (714) 668-2500
MANDY NGUYEN
Family Medicine
1190 BAKER ST STE 100
COSTA MESA, CA 92626
Orange County (949) 791-3250
SUSAN LYNN FLAMING
Nurse Practitioner (Family)
1190 BAKER ST STE 100
COSTA MESA, CA 92626
Orange County (714) 668-2500
ARTURO ACOSTA M.D.
Family Medicine
1190 BAKER ST STE 100
COSTA MESA, CA 92626
Orange County (714) 668-2500
LYNN WHANG MD
Student in an Organized Health Care Education/Training Program
1190 BAKER ST STE 100
COSTA MESA, CA 92626
Orange County (949) 791-3250

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 Pravin Shaw's NPI number?

The NPI number for Pravin Shaw is 1407136187. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Pravin Shaw located?

Pravin Shaw practices at 1190 Baker St Ste 100, Costa Mesa, CA 92626. The listed phone number is (714) 668-2500.

What is Pravin Shaw's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pravin Shaw enrolled in Medicare?

Yes. Pravin Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pravin Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pravin Shaw reassigns Medicare benefits to 2 organizations: Newport Urgent Care Incorporated (Newport Beach, CA) and Brea Urgent Care Incorporated (Brea, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pravin Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pravin Shaw was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.