Erica Latoya Shackelford

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

166 Geary St FL 15
San Francisco, CA 94108-5631

Phone

(305) 916-0946

NPI assigned

Dec 2, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1134945694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 GEARY ST FL 15",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085631",
            "telephone_number": "305-916-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 GEARY ST FL 15",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085631",
            "telephone_number": "305-916-0946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22335 Foothill Blvd Unit 3062",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945412754",
            "country_code": "US",
            "telephone_number": "305-916-0946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "ERICA",
        "middle_name": "LATOYA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Tai Sha, MD
• Shaheed Shabazz
• Waheema Aishah Shabazz Sr.
• Zubedah Calderon Shabazz
• Olivia Shabb, B.A.
• Todd Christian Shackelford
• Catherine Lynn Shaddix, M.A.
• Jessica London L. S. Huffine Shaddock, PSY.D
• Elham Shadmehr, DDS, MS
• Daniel Albert Shadoan, D.O.

• Prosthetic/Orthotic Supplier in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.