DR. BRIAN L SHAFFER (MD) – Maternal & Fetal Medicine Physician, NPI 1245296052

DR. BRIAN L SHAFFER (MD) is a healthcare provider. based in Santa rosa, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2009139 (CA). The NPI Number for DR. BRIAN L SHAFFER (MD) is 1245296052

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN L SHAFFER (MD)
NPI
1245296052
Phone
(415) 600-6400
Address
990 Sonoma Ave Ste 9
Enumeration Date
21 April 2006
Last Update Date
24 February 2021

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4156000140
Graduation Year
2001 (25 years ago)
PAC ID
0547200669
Group Practice PAC ID
4284538778
Professional Enrollment ID
I20050509000624
Address ID
CA941096978SA1100XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience96
Completeness75
Years active:20State licenses:4Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

Provider Addresses for DR. BRIAN L SHAFFER (MD)

  • 990 Sonoma Ave Ste 9

    Santa Rosa, CA 954044813

    Phone: (415) 600-6400

    Fax: (415) 369-1384

    Type: Location

  • 1580 Valencia St Ste 601

    San Francisco, CA 941104422

    Phone: (415) 600-6400

    Fax: (415) 369-1384

    Type: Location

  • 5730 Telegraph Ave Ste 117

    Oakland, CA 946091710

    Phone: (415) 600-6400

    Fax: (415) 369-1384

    Type: Location

  • 325 DISTEL CIR

    LOS ALTOS, CA 940221408

    Phone: (415) 600-6400

    Fax: (415) 369-1384

    Type: Mailing

  • 1100 VAN NESS AVE

    SAN FRANCISCO, CA 941096978

    Phone: (415) 600-6400

    Fax: (415) 369-1384

    Type: Location

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    MAIL CODE L 458

    PORTLAND, OR 972393011

    Phone: (503) 418-4200

    Fax: (503) 494-4473

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050509000624IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284538778View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
-CA
Hospitalist, Obstetrics/GynecologyCA
O B S T E T R I C S/ G Y N E C O L O G YOR
-CA
-CA
-CA
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What federal number belongs to DR. BRIAN L SHAFFER (MD)?
The federal identifier for DR. BRIAN L SHAFFER (MD) is NPI 1245296052.
Is DR. BRIAN L SHAFFER (MD) currently active in the NPI registry?
CMS-published data lists DR. BRIAN L SHAFFER (MD) as an active registrant.
Does DR. BRIAN L SHAFFER (MD) list a primary specialty?
If you are matching referrals, note Maternal & Fetal Medicine Physician for DR. BRIAN L SHAFFER (MD). Clinical services aligned with this taxonomy classification.
Where is DR. BRIAN L SHAFFER (MD)'s primary listing?
We display Santa Rosa, California because that is what the record indicates for DR. BRIAN L SHAFFER (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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