Individual provider Active NPI

Shameka McGowan-Davis, NP

  • Family Nurse Practitioner
  • Corona, CA
National Provider Identifier
1083557250
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95039162 Issued in CA
Practice address
1451 Rimpau Ave Ste 213
Corona, CA 92879-7522
Phone
(951) 268-6272
Fax
(951) 268-6870
NPI assigned
Apr 13, 2026
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95039162 CA Primary

Addresses

Primary practice location

1451 Rimpau Ave Ste 213
Corona, CA 92879-7522

Mailing address

3217 Carson St Ste 384
Lakewood, CA 90712-4006

Medicare participation

Medicare enrollment files
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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1451 Rimpau Ave
Suite 212
Corona, CA 92879-7520

3217 Carson St
Suite 384
Lakewood, CA 90712-4006

4126 Country Dr
Lakewood, CA 90712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95039162CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedial Patients Care Inc CurrentSince Jun 2, 2026 Accepting new patients
Warm Welcoming, Inc Current Accepting new patients
Vital Care Mobile Nurse Concierge Current Accepting new patients

Locations

1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272

3217 Carson St
Lakewood, CA 90712
Phone (323) 792-2540

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1083557250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 CARSON ST STE 384",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 RIMPAU AVE STE 213",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797522",
            "telephone_number": "951-268-6272",
            "fax_number": "951-268-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN-DAVIS",
        "first_name": "SHAMEKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.