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

Steven R. Shackford MD PC

Organization Surgery Physician · NPI 1841623865

Steven R. Shackford MD PC is a Surgery Physician in San Diego, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

550 Washington St Ste 641
San Diego, CA 92103-2229
Phone: (619) 299-2600
Fax: (619) 299-3923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence G29279 (CA)
Surgery Physician Taxonomy 208600000X · Licence G29279 (CA)

Record details

NPI number1841623865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Shackford — Owner/President · (619) 299-2600
NPI enumeratedAugust 13, 2013
Last updated in NPPESAugust 13, 2013
Mailing address550 Washington St., Suite 641, San Diego, CA 92103-2229

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