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DR. BOBBY SHAN DO, MS
NPI 1609439470
Family Medicine in Livermore, CA

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment
3000 LAS POSITAS RD, LIVERMORE, CA 94551(925) 243-2600(925) 243-2708 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2022, Aug 23, 2022, Apr 17, 2019 (3 updates tracked since 2019).

About Dr. Bobby Shan Do, Ms NPPES

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

DR. BOBBY SHAN DO, MS (NPI 1609439470) is an individual family medicine provider in Livermore, California, licensed in California (20214) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Merced, and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2019).

NPPES Registry Identity

NPI1609439470
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BOBBY SHANCredential: DO, MS
Location Address3000 LAS POSITAS RDLivermore, CA 94551-9627
Mailing Address3000 Las Positas RdLivermore, CA 94551-9627 · (925) 243-2600
Phone(925) 243-2600
Fax(925) 243-2708
Sole ProprietorNo
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2019
Enumeration DateApril 17, 2019
Last NPPES UpdateDecember 7, 20223 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1609439470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20214
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3000 LAS POSITAS RD, Livermore, CA 94551
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301Merced, CA 95340 · Phone (209) 564-3500 · Fax (209) 564-3598

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. Bobby Shan Do, Ms 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 ID1557737087
PECOS Enrollment IDI20221025000003
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 Reassignment

Medicare enrollment records show Bobby Shan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
28 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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 94551 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

JOSE PINAL
Counselor (Mental Health)
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-2600
THUY NGUYEN
Pharmacist
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-4704
MS. ANDREA E PICCHI MS, NP
Nurse Practitioner (Family)
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-4416
KASHIKA GUPTA MD
Student in an Organized Health Care Education/Training Program
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-2600
ANDREW W. RODGERS MD
Internal Medicine
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-2600
VANDANA JAIN MD
Internal Medicine
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-2600
TIMOTEO BAUTISTA CANIO MD
Internal Medicine
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (925) 243-2600
ARSHIAN MAHAJAN M.D.
Family Medicine
3000 LAS POSITAS RD
LIVERMORE, CA 94551
Alameda County (209) 468-6000

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 Bobby Shan's NPI number?

The NPI number for Bobby Shan is 1609439470. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Bobby Shan located?

Bobby Shan practices at 3000 Las Positas Rd, Livermore, CA 94551. The listed phone number is (925) 243-2600.

What is Bobby Shan's specialty?

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

Is Bobby Shan enrolled in Medicare?

Yes. Bobby Shan 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 organization bills Medicare for Bobby Shan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bobby Shan reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Bobby Shan'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 Bobby Shan was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.