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

Jason Shupe, DO

Individual provider Family Medicine Physician · NPI 1679914469

Jason Shupe, DO is a Family Practice in San Dimas, California. Graduated from College of Osteo Med of the Pacific at Pomona in 2013, 13 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
CA
In the registry since
2013
Specialties on file
2
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

554 E Foothill Blvd Ste 120
San Dimas, CA 91773-1222
Phone: (909) 248-3437
Fax: (844) 380-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27107 Tourney Rd, Santa Clarita, CA 91355-1860 — (888) 778-5000

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence 20A13620 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20A13620 (CA)

Record details

NPI number1679914469
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 10, 2013
Last updated in NPPESDecember 1, 2021
Certification dateMay 21, 2021
Mailing address554 E Foothill Blvd Ste 120, San Dimas, CA 91773-1222

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 2013 (13 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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