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

Gary Thomas Shaw, MD

Individual provider Body Imaging Physician · NPI 1568542306

Gary Thomas Shaw, MD is a Diagnostic Radiology in Santa Rosa, California. Graduated from University of Arizona College of Medicine in 1983, 43 years ago. Practices with Radia California Radiology Medical Group Inc, a 131-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
43
Trained at
University of Arizona College of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

121 Sotoyome St
Santa Rosa, CA 95405-4823
Phone: (707) 546-4062
Fax: (707) 525-4097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence G54948 (CA)
Body Imaging Physician Taxonomy 2085B0100X · Licence G54948 (CA)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence G54948 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence G54948 (CA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence G54948 (CA)

Record details

NPI number1568542306
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJune 10, 2014

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Radia California Radiology Medical Group Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Rosa