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

Amy Wall Shore, MD

Individual provider Anesthesiology Physician · NPI 1235305566

Amy Wall Shore, MD is an Anesthesiology in Marina del Rey, California. Graduated from Louisiana State University School of Medicine in Shreveport in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Alabama, California and Massachusetts.

Years since qualifying
22
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
AL, CA, MA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4553 Glencoe Ave Ste 100
Marina del Rey, CA 90292-7917
Phone: (949) 988-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 30993 (AL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 226228 (MA)
Anesthesiology Physician Taxonomy 207L00000X · Licence A123437 (CA)

Record details

NPI number1235305566
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2008
Last updated in NPPESNovember 15, 2025
Certification dateNovember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Marina del Rey