Active NPI
Shaunte E Anderson, FNP
- Family Nurse Practitioner
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95012291
- Practice address
- 1025 W 190TH St Ste 450
Gardena, CA 90248-4339 - Phone
- (310) 782-1177
- NPI assigned
- Dec 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95012291 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 95012991 | CA |
Addresses
Primary practice location
1025 W 190TH St Ste 450
Gardena, CA 90248-4339
Mailing address
13089 Peyton Dr
Chino Hills, CA 91709-6018
Phone (562) 682-5091
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1007 Iris St
Redwood City, CA 94061-1503
21622 NE 11TH Place
Sammamish, WA 98074
330 Edmondson St
Summerville, CA 30747-2141
750 The City Dr S
Suite 120
Orange, CA 92868-6945
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95012991 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella Belle Loving Care LLC | Current | Accepting new patients | |
| J M Geiss DO Apc | Family Medicine | Current | Accepting new patients |
| Reviva Wound Care Specialists | Family Medicine | Current | Accepting new patients |
| Seasons Medical Group of California Incorporated | Current | Accepting new patients | |
| Global Wound Care Medical Group | Current | Accepting new patients | |
| Concertocare Medical Group of California, P.C. | Family Medicine | Past | Accepting new patients |
| Seasons Hospice & Palliative Care of California- San Bernardino, LLC | Family Medicine | Past | Accepting new patients |
| Hospice Care of America, LLC | Past | Accepting new patients |
Locations
320 Arden Ave
Ste 100
Glendale, CA 91203
Phone (626) 568-5000
5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
750 The City Dr S
Ste 120
Orange, CA 92868
Phone (714) 980-0900
701 W Kimberly Ave
Ste 200
Placentia, CA 92870
Phone (657) 444-1233
8686 Haven Ave
Ste 300
Rancho Cucamonga, CA 91730
Phone (909) 981-1136
180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
Interoperability endpoints
- shaunte.anderson@746395612545028.direct.elationemr.com
Organizations & group practices 8
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- San Diego, CA
- NPI 1790239473
-
- Internal Medicine Physician
- Huntington Beach, CA
- NPI 1922777259
Family Medicine
-
- Assisted Living Facility
- Lake Elsinore, CA
- NPI 1295689370
-
- General Practice Physician
- Los Angeles, CA
- NPI 1235831132
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
-
- Family Medicine Physician
- Placentia, CA
- NPI 1275325474
-
- Community Based Hospice Care Agency
- Glendale, CA
- NPI 1851471148
-
- Community Based Hospice Care Agency
- Ontario, CA
- NPI 1336408848
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1639717218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13089 PEYTON DR",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917096018",
"telephone_number": "562-682-5091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W 190TH ST STE 450",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484339",
"telephone_number": "310-782-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SHAUNTE",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-14",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95012291",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "95012991",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.