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JASON SHUPE D.O.
NPI 1679914469
Neuromusculoskeletal Medicine & OMM in San Dimas, CA

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
554 E FOOTHILL BLVD STE 120, SAN DIMAS, CA 91773(909) 248-3437(844) 380-6565 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2021, May 21, 2021, Mar 5, 2021 and 2 more (5 updates tracked since 2016).

About Jason Shupe D.o. NPPES

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

JASON SHUPE D.O. (NPI 1679914469) is an individual neuromusculoskeletal medicine & omm provider in San Dimas, California, licensed in California (20A13620) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Clarita, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2013).

NPPES Registry Identity

NPI1679914469
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameJASON SHUPECredential: D.O.
Location Address554 E FOOTHILL BLVD STE 120San Dimas, CA 91773-1222
Mailing Address554 E Foothill Blvd Ste 120San Dimas, CA 91773-1222 · (909) 248-3437 · Fax (844) 380-6565
Phone(909) 248-3437
Fax(844) 380-6565
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2013
Enumeration DateJuly 10, 2013
Last NPPES UpdateDecember 1, 20215 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
✔ NPI 1679914469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in CA · 20A13620
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 20A13620 (CA)
554 E FOOTHILL BLVD STE 120, San Dimas, CA 91773
Open in Google Maps ↗

Secondary Practice Location 1

Location 127107 Tourney RdSanta Clarita, CA 91355-1860 · Phone (888) 778-5000

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

Jason Shupe 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 ID7113168493
PECOS Enrollment IDI20161114001962, I20191007003528
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 Jason Shupe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jason Shupe, D.O., An Osteopathic Corporation
Same address
Medical Specialty
554 E FOOTHILL BLVD STE 120
San Dimas, CA 91773
  • Reassigned Medicare billing, California enrollment
NPI 1992366223 (909) 248-3437
Southern California Permanente Medical Group
12 mi
Health Maintenance Organization
1011 BALDWIN PARK BLVD
Baldwin Park, CA 91706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1770515280 (626) 851-1011

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Osteopathic manipulative treatment, 7-8 body regions 98928
Osteopathic Manipulative Treatment (OMT) is a hands-on method where physicians use precise movements to diagnose, treat, and prevent illness or injury. In a 7-8 body regions OMT, the doctor focuses on multiple areas, such as the head, neck, back, or limbs, to enhance your body's natural healing process.
372 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
316 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services14 patients

Other Providers at the Same Location NPPES

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

JASON SHUPE, D.O., AN OSTEOPATHIC CORPORATION
Clinic/Center (Medical Specialty)
554 E FOOTHILL BLVD STE 120
SAN DIMAS, CA 91773
Los Angeles County (909) 248-3437

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 Jason Shupe's NPI number?

The NPI number for Jason Shupe is 1679914469. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Jason Shupe located?

Jason Shupe practices at 554 E Foothill Blvd Ste 120, San Dimas, CA 91773. The listed phone number is (909) 248-3437.

What is Jason Shupe's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Jason Shupe enrolled in Medicare?

Yes. Jason Shupe 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 Jason Shupe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Shupe reassigns Medicare benefits to 2 organizations: Jason Shupe, D.O., An Osteopathic Corporation (San Dimas, CA) and Southern California Permanente Medical Group (Baldwin Park, 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 Jason Shupe'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 Jason Shupe was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.