William R. Shankle MD Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

WILLIAM R. SHANKLE MD INC.

Practice address

3900 W Coast Hwy Ste 310
Newport Beach, CA 92663

Phone

(949) 478-8858

Fax

(949) 242-2465

NPI assigned

Nov 19, 2019

Last updated

Aug 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Georgette Youssef

Title

Operations Manager

Phone

(949) 478-8858

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Rodman Shankle, MS, M.D.

  • Neurology Physician
  • Newport Beach, CA
  • NPI 1932246584
  Medicare reassignment Care Compare group NPD
• Sarah Kristine Alcaide Young, NP

  • Family Nurse Practitioner
  • Newport Beach, CA
  • NPI 1942708383
  Medicare reassignment Care Compare group NPD
• Lauren L Bennett

  • Clinical Neuropsychologist
  • Irvine, CA
  • NPI 1811426125
  NPD
• Lauren Lynn Dill, PH.D.

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1851641344
  NPD
• Miki Stacy Ohata

  • Adult Health Nurse Practitioner
  • Newport Beach, CA
  • NPI 1033760699
  NPD
• Flordelin Yadira Palomino

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1356982607
  NPD
• Leslie M Powell, NP

  • Adult Health Nurse Practitioner
  • San Diego, CA
  • NPI 1225198781
  NPD
• Raphael Ziegler, PH.D.

  • Clinical Neuropsychologist
  • Redondo Beach, CA
  • NPI 1497895601
  NPD
• Mohammed Muzammil Ahmed, M.D

  • Psychiatry Physician
  • La Jolla, CA
  • NPI 1184856916
  NPD (past)
• Teryn B Clarke, M.D.

  • Neurology Physician
  • Newport Beach, CA
  • NPI 1174543169
  NPD (past)
• William J Tsai, M.D.

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1952356560
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1265078786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W COAST HWY STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-478-8858",
            "fax_number": "949-242-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W COAST HWY STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-478-8858",
            "fax_number": "949-242-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. SHANKLE MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "949-478-8858"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Louise Wilkens, MSPA-C
• Katie Erin Wilkinson, M.D.
• Connor Anthony Will
• William E. White PH.D. Inc.
• William N Sokol Jr M D Inc
• William Ross Dobkin M D Inc
• Chase Williams
• Chiron Williams
• De Anne Mary Williams, WHNP
• Hannah C Williams, AUD

• Neurology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.