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

Dr. Richard Mark Shaw, MD

Individual provider Family Medicine Physician · NPI 1376537753

Dr. Richard Mark Shaw, MD is a Family Practice in Simi Valley, California. Graduated from St Louis College of Physicians and Surgeons in 1991, 35 years ago. Practices with Simi Medical Group, Inc, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
35
Trained at
St Louis College of Physicians and Surgeons
Licensed in
CA
In the registry since
2005
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

2755 Alamo St #100
Simi Valley, CA 93065-1311
Phone: (805) 210-7280
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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 G75294 (CA)

Record details

NPI number1376537753
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 31, 2005
Last updated in NPPESOctober 15, 2015
Mailing address2755 Alamo St Ste 201, Simi Valley, CA 93063-1346

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1991 (35 years in practice)
Group practice Simi Medical Group, Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Simi Valley