Active NPI
Annette Shon
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1043593064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21126
- Practice address
- 3727 W 6TH St
Suite 200
Los Angeles, CA 90020-5105 - Phone
- (213) 427-4000
- Fax
- (213) 427-4008
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21126 | CA | Primary |
Addresses
Primary practice location
3727 W 6TH St
Suite 200
Los Angeles, CA 90020-5105
Mailing address
691 Irolo St
Apt 2010
Los Angeles, CA 90005-2362
Phone (818) 515-4454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21126 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothill Emergency Physicians | Current | Accepting new patients | |
| Korean Health, Education, Information and Research Center | Past | Accepting new patients |
Locations
3800 La Crescenta Ave
Ste 207
La Crescenta, CA 91214
Phone (818) 957-9595
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1396875712
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1093562589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1043593064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "691 IROLO ST",
"address_2": "APT 2010",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900052362",
"telephone_number": "818-515-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 W 6TH ST",
"address_2": "SUITE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900205105",
"telephone_number": "213-427-4000",
"fax_number": "213-427-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHON",
"first_name": "ANNETTE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.