Shawn Richard Oneill

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Practice address

5979 Trotters LN
Alta Loma, CA 91701-2644

Phone

(909) 319-7920

NPI assigned

Aug 11, 2020

Sex

Male

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1205447687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 TROTTERS LN",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917012644",
            "telephone_number": "909-319-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 TROTTERS LN",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917012644",
            "telephone_number": "909-319-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEILL",
        "first_name": "SHAWN",
        "middle_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuan D Nguyen, DDS
• Sylvia Roxanne Nicholson
• Emily Nielsen, LMFT
• Lorna Maureen Nyberg, FNP
• Ogadinma Eugenia Okafor
• Crystal Noelle Orabona, LMFT
• P and M Health Care Holdings Inc
• Nidhi Chinmai Papagari
• Trinh Pham, DDS
• Physician Support Service

• Multi-Specialty Clinic/Center in Alta Loma, CA
• Providers in Alta Loma, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.