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

Dr. Shane Alan Hervey, MD

Individual provider Family Medicine Physician · NPI 1043899784

Dr. Shane Alan Hervey, MD is a Family Practice in Santa Monica, California. Graduated from Oregon Health Sciences University School of Medicine in 2021, 5 years ago. Practices with Regents of the University of California, a 68-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
CA
In the registry since
2021
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

1225 15th St Ste 2100
Santa Monica, CA 90404-1101
Phone: (310) 319-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 — (628) 206-5252

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A191828 (CA)

Record details

NPI number1043899784
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Regents Of The University Of California — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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