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STEVEN R. SHACKFORD MD PC
NPI 1841623865
Surgery - Vascular Surgery in San Diego, CA

Active since August 13, 2013
550 WASHINGTON ST., SUITE 641, SAN DIEGO, CA 92103(619) 299-2600(619) 299-3923 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Steven R. Shackford Md Pc NPPES

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

STEVEN R. SHACKFORD MD PC (NPI 1841623865) is a healthcare organization registered as a vascular surgery in San Diego, California and active in the NPI registry since August 2013. The organization lists Steven R Shackford, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1841623865
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSTEVEN R. SHACKFORD MD PC
Location Address550 WASHINGTON ST., SUITE 641San Diego, CA 92103-2229
Mailing Address550 Washington St., Suite 641San Diego, CA 92103-2229 · (619) 299-2600 · Fax (619) 299-3923
Phone(619) 299-2600
Fax(619) 299-3923
Organization SubpartNo
Authorized OfficialSteven R ShackfordOwner/president · (619) 299-2600
Enumeration DateAugust 13, 2013
✔ NPI 1841623865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in CA · G29279
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License G29279 (CA)
550 WASHINGTON ST., San Diego, CA 92103
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. STEVEN R. SHACKFORD M.D.
Surgery (Vascular Surgery)
550 WASHINGTON ST., SUITE 641
SAN DIEGO, CA 92103
San Diego County (619) 299-2600
MICHAEL J. SISE M.D.
Surgery (Vascular Surgery)
550 WASHINGTON ST., SUITE 641
SAN DIEGO, CA 92103
San Diego County (619) 299-2600

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 Steven R. Shackford MD PC's NPI number?

The NPI number for Steven R. Shackford MD PC is 1841623865. It was assigned to this organization in the NPPES registry on August 13, 2013.

Where is Steven R. Shackford MD PC located?

Steven R. Shackford MD PC is located at 550 Washington St. Suite 641, San Diego, CA 92103. The listed phone number is (619) 299-2600.

What is Steven R. Shackford MD PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Steven R. Shackford MD PC was last updated on August 13, 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.