Shanine Cindelle Isidro Chua

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028244 Issued in CA

Practice address

1500 San Pablo St
Los Angeles, CA 90033-5313

Phone

(800) 872-2273

NPI assigned

Apr 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Shanine Cindelle Laggui Isidro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1194571919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 HAYTER AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122326",
            "telephone_number": "562-209-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "800-872-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "SHANINE CINDELLE",
        "middle_name": "ISIDRO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANINE CINDELLE",
            "last_name": "ISIDRO",
            "middle_name": "LAGGUI",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Lopez Chua, NP-C, MSN, RN
• Jeanie Yap Chua, BSN, RN
• Jennifer Ann Sy Chua, NURSE PRACTITIONER
• Jonathan Zhe Hao Raphacis Chua, M.A.
• Ryyn Chua
• Shayna Chua
• Karina Chuah, CGC
• Andrew Chuang, M.D.
• Carolyn Chuang
• Fukai Leo Chuang, M.D.

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.