Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Shupe, DO, an Osteopathic Corporation

Organization Medical Specialty Clinic/Center · NPI 1992366223

Jason Shupe, DO, an Osteopathic Corporation is a Medical Specialty Clinic/Center in San Dimas, California. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

554 E Foothill Blvd Ste 120
San Dimas, CA 91773-1222
Phone: (909) 248-3437
Fax: (844) 380-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1992366223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Shupe — Ceo · (909) 248-3437
NPI enumeratedJune 26, 2019
Last updated in NPPESJune 26, 2019
Mailing address554 E Foothill Blvd Ste 120, San Dimas, CA 91773-1222