Shantee Dyan Charles

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12793 Issued in CA

Practice address

1801 S Poplar St
Santa Ana, CA 92704-4321

Phone

(714) 433-3481

NPI assigned

Jun 9, 2021

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1235706904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CLEAR CREEK CT",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536107",
            "telephone_number": "714-862-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S POPLAR ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927044321",
            "telephone_number": "714-433-3481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Bisso Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945204886",
            "country_code": "US",
            "telephone_number": "925-521-5715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SHANTEE",
        "middle_name": "DYAN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "12793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Chapman, RNBSN
• Paul David Chappelle, O.D
• Allante Chapple
• Jotsukhmani Charaia
• Alejandra Charco, NONE
• Teresa Louise Charlesworth, RNC, MSN, FNP
• Ashley Chau
• James Chau, M.D.
• Kathleen Bui Chau
• Lisa Chau

• Professional Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.