Active NPI
Nurse Practitioners of California
- Family Nurse Practitioner
- Menifee, CA
National Provider Identifier
1588964159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18946
- Legal business name
- NURSE PRACTITIONERS OF CALIFORNIA
- Practice address
- 25105 Clover Creek LN
Menifee, CA 92584-8456 - Phone
- (951) 852-8505
- Fax
- (951) 746-3496
- NPI assigned
- Oct 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Louise Shannon, N.P.
- Title
- Founder
- Phone
- (951) 852-8505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18946 | CA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 18946 | CA |
Addresses
Primary practice location
25105 Clover Creek LN
Menifee, CA 92584-8456
Mailing address
26025 Newport Road
Suite a 305
Menifee, CA 92584
UM
Phone (951) 852-8505
National Provider Directory
National Provider DirectoryLocations
26025 Newport Rd
#A305
Menifee, CA 92584
Phone (951) 852-8505
26025 Newport Rd
Ste A
Menifee, CA 92584
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1952537649
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1588964159",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "26025 NEWPORT ROAD",
"address_2": "SUITE A 305",
"city": "MENIFEE",
"state": "CA",
"postal_code": "92584",
"telephone_number": "951-852-8505",
"fax_number": "951-746-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25105 CLOVER CREEK LN",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925848456",
"telephone_number": "951-852-8505",
"fax_number": "951-746-3496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE PRACTITIONERS OF CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "SHANNON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "951-852-8505",
"authorized_official_credential": "N.P."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "18946",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "18946",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.