Active NPI
Janet M Shaffron, NP-C
- Adult Health Nurse Practitioner
- Whittier, CA
National Provider Identifier
1619106614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 18255
- Practice address
- 15725 Whittier Blvd Ste 500
Whittier, CA 90603-2350 - Phone
- (562) 448-1350
- NPI assigned
- Jul 11, 2009
- Last updated
- Aug 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP3700 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | 18255 | CA | Primary |
Addresses
Primary practice location
15725 Whittier Blvd Ste 500
Whittier, CA 90603-2350
Mailing address
15725 Whittier Blvd Ste 500
Whittier, CA 90603-2350
Phone (562) 448-1350
Other practice location 1
20199 N 75th Ave
Glendale, AZ 85308-8807
Phone (480) 301-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 534762 | Medicaid | AZ | |
| P00869307 | Other | AZ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18255 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1619106614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15725 WHITTIER BLVD STE 500",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906032350",
"telephone_number": "562-448-1350",
"fax_number": "562-464-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15725 WHITTIER BLVD STE 500",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906032350",
"telephone_number": "562-448-1350"
}
],
"practiceLocations": [
{
"address_1": "20199 N 75th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853088807",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAFFRON",
"first_name": "JANET",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-11",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP3700",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "18255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "534762",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00869307",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.