Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. AUDREY ASTARR SHAWLEY MD
NPI 1821858713
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 19, 2024PECOS Enrolled
4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103(415) 846-8707 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Audrey Astarr Shawley Md NPPES

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

DR. AUDREY ASTARR SHAWLEY MD (NPI 1821858713) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1821858713
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. AUDREY ASTARR SHAWLEYCredential: MD
Location Address4077 FIFTH AVE # MER-35San Diego, CA 92103-2105
Mailing Address4077 Fifth Ave # Mer-35San Diego, CA 92103-2105
Sole ProprietorNo
Enumeration DateMarch 19, 2024
Last NPPES UpdateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1821858713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedInternal MedicineTaxonomy 207R00000X · License A211783 (CA)
4077 FIFTH AVE # MER-35, San Diego, CA 92103

Secondary Practice Location 1

Location 14094 4th AveSan Diego, CA 92103-2143 · Phone (619) 515-2545

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Audrey Astarr Shawley 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 20

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
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103

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 Audrey Shawley's NPI number?

The NPI number for Audrey Shawley is 1821858713. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Audrey Shawley located?

Audrey Shawley practices at 4077 Fifth Ave # Mer-35, San Diego, CA 92103. The listed phone number is (415) 846-8707.

What is Audrey Shawley's specialty?

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

Is Audrey Shawley enrolled in Medicare?

Yes. Audrey Shawley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Shawley was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.