JONATHAN GLAZER SHAW (M.D.) – Family Medicine Physician, NPI 1265631709
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for JONATHAN GLAZER SHAW (M.D.)
1265 Welch Rd Fl 3
Stanford, CA 943055102
Phone: (650) 721-2412
Type: Location
300 Pasteur Dr
Stanford, CA 943052200
Phone: (650) 723-4000
Type: Location
1885 Bay Rd
East Palo Alto, CA 943031312
Phone: (650) 330-7400
Type: Location
300 PASTEUR DR
STANFORD, CA 943052200
Phone: (650) 723-4000
Type: Location
1885, Bay Road, Ravenswood, East Palo Alto, San Mateo County, California, 94303, United States
EAST PALO ALTO, CA 943031312
Phone: (650) 330-7400
Type: Location
Welch Road, Stanford, Santa Clara County, California, 94305-6015, United States
STANFORD, CA 943055102
Phone: (650) 721-2412
Type: Mailing
5530 NE 42ND AVE
PORTLAND, OR 972181408
Phone: (503) 988-5558
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: 2014-10-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141025000000 | I | Family Practice | CA | TBD |
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.
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 94305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | CA | |
| O P T O M E T R Y | CA | |
| Family Practice | CA | |
| Clinical Psychologist | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA |
Reviews
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