Yvonne Shaffer, RASI

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

RI-S0608221232

Practice address

1601 E 10TH St
Long Beach, CA 90813-5035

Phone

(562) 218-3639

Fax

(562) 218-5310

NPI assigned

Jan 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Choices of Long Beach Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Long Beach, CA
  • NPI 1346223781
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1053598011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 10TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908135035",
            "telephone_number": "562-218-3639",
            "fax_number": "562-218-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 10TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908135035",
            "telephone_number": "562-218-3639",
            "fax_number": "562-218-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "RASI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "RI-S0608221232",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-S0608221232",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "RI-S0608221232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Shader
• Mohammad A Shadjari, PA-C
• Jeremy Richard Shadrick
• Penny Sue Shafer, R.PH.
• Seth Shaffer, M.A.
• Anoop Shah, MD
• Farah Shah, MD
• Fazeel Shah
• Gaurang M. Shah, M.D.
• Harshad Shah, M.D

• Case Manager/Care Coordinator in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.