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Gary Thomas Shaw, M.D.

Vascular & Interventional Radiology Physician in Santa Rosa, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568542306

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Registry record

Entity type Individual (Type 1)
Name Gary Thomas Shaw
Credential M.D.
Sex Male
Practice address 121 Sotoyome St, Santa Rosa, CA, 95405
Fax (707) 525-4097
Enumeration date Oct 16, 2006
Last updated in NPPES Jun 10, 2014

Taxonomy & licenses

2085B0100X Body Imaging Physician Allopathic & Osteopathic Physicians · License G54948 (CA) Secondary
2085N0904X Nuclear Radiology Physician Allopathic & Osteopathic Physicians · License G54948 (CA) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License G54948 (CA) Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License G54948 (CA) Primary
2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians · License G54948 (CA) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
00G549480 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Gary Shaw?
The National Provider Identifier (NPI) for Gary Shaw is 1568542306, a Type 1 (individual) record in the CMS NPPES registry.
Where does Gary Shaw practice?
The practice location on file with NPPES is in Santa Rosa, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-10.