Jane K. Shintaku

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

41775 Issued in CA

Practice address

5152 Katella Ave # 202-D
Los Alamitos, CA 90720-2817

Phone

(714) 309-8793

NPI assigned

Dec 1, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1013450469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2114",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906301614",
            "telephone_number": "714-309-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 KATELLA AVE # 202-D",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202817",
            "telephone_number": "714-309-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINTAKU",
        "first_name": "JANE",
        "middle_name": "K.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Shieh, M.D., M.B.A.
• Karen Kay Shifflett-Collins, MFT
• Constance S. Shih, M.D.
• Margaret Shih, L.AC.
• Richard C Shin, MD
• Shivanand R Pole MD Inc
• Shohet Ear Associates Medical Group, Inc
• Shokoufeh Shokri
• Puja Shrestha, MD
• Reshma Shroff, RPH

• Marriage & Family Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.