Carolyn Lupi Shu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95025759 Issued in CA

Practice address

21500 Yorba Linda Blvd
Yorba Linda, CA 92887-3745

Phone

(714) 599-8078

NPI assigned

Oct 6, 2023

Sex

Female

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Anchor Medical Group

  • Family Medicine Physician
  • Yorba Linda, CA
  • NPI 1700678810
  NPD

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1356122295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 N ROBWOOD CIR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072503",
            "telephone_number": "714-398-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873745",
            "telephone_number": "714-599-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "CAROLYN",
        "middle_name": "LUPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Shibuya, PHARMD
• John Hyo Keun Shin, MD
• Kevin Shin
• Mark Shiroma
• Colette Kirsty Shiu, MD
• Heather Brittany Simpson, DDS
• Jaclyn Sioson
• Sital Shah DDS, PC (Eastlake Village Dental)
• Hongsa Situ
• Manju Skariah

• Family Nurse Practitioner in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.