Shannon Adele Salveson, ACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95007078 Issued in CA

Practice address

200 UCLA Medical PLZ Ste 365
Los Angeles, CA 90095-8344

Phone

(310) 825-0527

Fax

(310) 206-4930

NPI assigned

Nov 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Adele Younger Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1511395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511395200000",
    "number": "1346754694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 GLASTONBURY RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613546",
            "telephone_number": "805-300-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 365",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958344",
            "telephone_number": "310-825-0527",
            "fax_number": "310-206-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVESON",
        "first_name": "SHANNON",
        "middle_name": "ADELE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-23",
        "last_updated": "2017-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95007078",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "YOUNGER",
            "middle_name": "ADELE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Noah Salvador
• Roderick Salvador
• Stephanie Salvador
• Mina Salvati
• Araseli Salvatierra
• Amanda Salvestrini, MS, RD
• Bianca Salvetti, N.P.
• Sangeeta Salvi, PHARMD
• Salvo Physician Practice PA
• Dawn Elizabeth Salyards, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.