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

Dr. Pravin Shaw, DO

Individual provider Family Medicine Physician · NPI 1407136187

Dr. Pravin Shaw, DO is a Family Practice in Costa Mesa, California. Qualified in 2009, 17 years ago. Practices with Newport Urgent Care Incorporated, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2011
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.

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Practice location Address checks out

1190 Baker St Ste 100
Costa Mesa, CA 92626-4105
Phone: (714) 668-2500
Fax: (714) 668-2515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A11805 (CA)

Record details

NPI number1407136187
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 25, 2011
Last updated in NPPESAugust 1, 2013
Mailing addressPo Box 3699, Newport Beach, CA 92659-8699

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Newport Urgent Care Incorporated — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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