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

Q: 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.

Q: What is Bobby Shan's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)