Active NPI
Candice Shearer, DPT
- Physical Therapist
- Fontana, CA
National Provider Identifier
1083025738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36034
- Practice address
- 17284 Slover Ave
Fontana, CA 92337-7584 - Phone
- (909) 609-3800
- NPI assigned
- May 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36034 | CA | Primary |
Addresses
Primary practice location
17284 Slover Ave
Fontana, CA 92337-7584
Mailing address
17284 Slover Ave
Fontana, CA 92337
Phone (909) 609-3800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36034 | CA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1083025738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17284 SLOVER AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "92337",
"telephone_number": "909-609-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17284 SLOVER AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923377584",
"telephone_number": "909-609-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "CANDICE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.