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

Jamal Shillingford

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1063855567

Jamal Shillingford is an Orthopedic Surgery in Larkspur, California. Graduated from Columbia University College of Physicians and Surgeons in 2013, 13 years ago. Practices with Joseph Laratta MD Spine Surgeon LLC, a 2-clinician group and works from 4 locations. Licensed in Kentucky.

Years since qualifying
13
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
KY
In the registry since
2013
Specialties on file
2

Practice location Address checks out

2 Bon Air Rd Ste 120
Larkspur, CA 94939-1142
Phone: (415) 927-5300
Show map & directions

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

Additional practice locations (3)

  • 210 E Gray St Ste 900, Louisville, KY 40202 — (502) 584-7525
  • 550 S Jackson St, Louisville, KY 40202-1622 — (502) 587-7140
  • 630 W 168th St, New York, NY 10032-3725 — (212) 305-2862

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence 51177 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063855567
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2013
Last updated in NPPESAugust 20, 2019
Mailing addressPo Box 776351, Chicago, IL 60677-6351

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2013 (13 years in practice)
Group practice Joseph Laratta Md Spine Surgeon Llc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Larkspur