Shawn Todd Van Enoo, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4322 Issued in CA

Practice address

11911 Artesia Blvd 103
Cerritos, CA 90701-4070

Phone

(562) 402-2489

Fax

(562) 809-7219

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York Medical College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JBGCDD/Endpoint/JBGCDD

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.

• Shawn T. Van Enoo, D.P.M. a Professional Medical Corporation

  • Podiatrist
  • Cerritos, CA
  • NPI 1740512235
  Medicare reassignment Authorized official
• Maijala Podiatry Corporation

  • Podiatrist
  • Anaheim, CA
  • NPI 1891570503

  Foot & Ankle Surgery

  NPD

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1073540688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907020011",
            "telephone_number": "562-402-2489",
            "fax_number": "562-809-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 ARTESIA BLVD 103",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907014070",
            "telephone_number": "562-402-2489",
            "fax_number": "562-809-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ENOO",
        "first_name": "SHAWN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Vaca
• Aleeza Mae Valdez
• Oscar E Valenzuela, D.D.S.
• Yanyne Valles
• Maria T. Valmidiano-Wilson, CRNA, MSN
• Stephanie Dawn Van Tuyl
• Wilburt Gerald Vanderburg II, RN
• Garrett J Vanginkel
• Andrew Martin Varela
• Mayra Vargas-Garcia

• Foot & Ankle Surgery Podiatrist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.