Trevor Shaddox, MD, PHD
NPI 1588169312 · Student in an Organized Health Care Education/Training Program · Los Angeles, CA
Enrolled with Medicare as Order and Referring Only - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Trevor Shaddox, MD, PHD is a Student in an Organized Health Care Education/Training Program provider in Los Angeles, CA (NPI 1588169312).
Provider details
- NPI number
- 1588169312
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A167044 (CA)
Specialties & taxonomies
Student, Health Care
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-25
- Last updated
- 2023-06-27
- Certified
- 2023-06-27
Frequently asked questions
- What is Trevor Shaddox's NPI number?
- Trevor Shaddox's National Provider Identifier (NPI) is 1588169312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Trevor Shaddox's specialty?
- Trevor Shaddox is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Trevor Shaddox located?
- Trevor Shaddox's practice location on file with NPPES is 11740 San Vicente Blvd Ste 109-606, Los Angeles, CA 90049-6610.
- What is Trevor Shaddox's phone number?
- The practice phone number listed in the NPPES registry for Trevor Shaddox is (949) 401-6917.
- Does Trevor Shaddox accept Medicare?
- Trevor Shaddox is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Trevor Shaddox's NPI active?
- Yes — Trevor Shaddox's NPI (1588169312) is active in the NPPES registry as of the last update on 2023-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.