Individual provider Active NPI

Shakeela Swaby

  • Family Nurse Practitioner
  • Huntington Park, CA
National Provider Identifier
1346802840
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011762 Issued in CA
Practice address
2680 Saturn Ave
Huntington Park, CA 90255-4377
Phone
(323) 908-4200
NPI assigned
Jul 3, 2019
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011762 CA Primary
Nurse Practitioner 363L00000X 95011762 CA
Community Health Nurse Practitioner 363LC1500X 95011762 CA
Primary Care Nurse Practitioner 363LP2300X 95011762 CA

Addresses

Primary practice location

2680 Saturn Ave
Huntington Park, CA 90255-4377

Mailing address

1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Phone (626) 403-6200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241113000772 CA Practitioner - Nurse Practitioner 9234562562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ca Physician Assistant Cooperative Healthcare PCGroup PAC ID 9032641469, 2 clinicians

Practice addresses (Care Compare)

645 Aerick St
Suite 3
Inglewood, CA 90301-4884
Phone (310) 431-4926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011762CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Partners of California West P C CurrentSince Jan 17, 2026 Accepting new patients
Prospect Foothill Urgent Care CurrentSince Sep 16, 2024 Accepting new patients
Metropolitan Ipa CurrentSince Sep 16, 2024 Accepting new patients

Locations

710 N Euclid St
Ste 203
Anaheim, CA 92801
Phone (714) 551-9720

710 N Euclid St
Ste 400
Anaheim, CA 92801
Phone (714) 517-2000

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

Interoperability endpoints

  • Direct secure messaging: shakeela.swaby.2@32527.direct.athenahealth.com
  • Direct secure messaging: shakeela.swaby.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1346802840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052621",
            "telephone_number": "626-403-6200",
            "fax_number": "626-403-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 SATURN AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554377",
            "telephone_number": "323-908-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWABY",
        "first_name": "SHAKEELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011762",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011762",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CA",
            "license": "95011762",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95011762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.