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

Tracie Shaw, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1659948321

Tracie Shaw, DPM is a Podiatry in Chino, California. Qualified in 2021, 5 years ago. Practices with Tarzana Foot and Ankle Center Inc, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

5365 Walnut Ave Ste P
Chino, CA 91710-2622
Phone: (909) 946-6643
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5975 (CA)

Record details

NPI number1659948321
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 9, 2021
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address1039 S Indian Summer Ave, West Covina, CA 91790-5216

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tarzana Foot And Ankle Center Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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