NPI

Jonathan Harry Shapiro

NPI 1295230225

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DMD, MDSc
Type
Individual
Enumeration date
2018-03-30
Last updated
2025-07-19

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Specialties

Licenses

License CA
103987
License CT
13402

Location

Practice location
2901 Wilshire Blvd Ste 201
City
Santa Monica CA
Postal code
90403-4905
Phone
(310) 564-3636

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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