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

Dr. Bobby Shan, DO, MS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609439470

Dr. Bobby Shan, DO, MS is a Family Practice in Livermore, California. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2019, 7 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3000 Las Positas Rd
Livermore, CA 94551-9627
Phone: (925) 243-2600
Fax: (925) 243-2708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Mercy Medical Center Merced, Merced, CA 95340 — (209) 564-3500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20214 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609439470
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , MS
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022
Mailing address3000 Las Positas Rd, Livermore, CA 94551-9627

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2019 (7 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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