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

Susanna Janes Shaw

Individual provider Pediatric Anesthesiology Physician · NPI 1063685477

Susanna Janes Shaw is an Anesthesiology in San Diego, California. Graduated from George Washington University School of Medicine in 2008, 18 years ago. Practices with Regents of the University of California, a 2,061-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Trained at
George Washington University School of Medicine
Licensed in
CA
In the registry since
2008
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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence A158142 (CA)

Record details

NPI number1063685477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2008
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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