Shanna Ma

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95025857 Issued in CA

Practice address

980 E Foothill Blvd Ste 101
Upland, CA 91786-4068

Phone

(909) 981-6211

NPI assigned

Oct 23, 2023

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tien-Sheng Hsu, MD

  • Family Nurse Practitioner
  • Upland, CA
  • NPI 1841072790
  NPD
• Charles Hsu MD Inc

  dba Hsu Plastic Surgery

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1477843704
  NPD (past)

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1558133603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12427 FEATHER DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917521484",
            "telephone_number": "909-272-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E FOOTHILL BLVD STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864068",
            "telephone_number": "909-981-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "SHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Luna
• Sandy Lizbeth Luna
• Lusk Psychological Services, Inc. (Sanders Psychological Services)
• Luxottica of America Inc. (Target Optical #6745)
• Clarence Ly, NP
• Ma. Theresa M. Ramos DMD Inc (Upland Smile Center)
• Mab Home Health
• Raymond L Maberry
• Myrna Macias-Prado
• Donna Macias, B.A.

• Family Nurse Practitioner in Upland, CA
• Providers in Upland, 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 23, 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.