Jeffrey Stevens Shannon, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A36291 Issued in CA

Practice address

2027 Village LN
Suite 102
Solvang, CA 93463-2283

Phone

(805) 688-3440

Fax

(805) 686-5694

NPI assigned

Sep 13, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649375148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 VILLAGE LN",
            "address_2": "SUITE 102",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632283",
            "telephone_number": "805-688-3440",
            "fax_number": "805-686-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 VILLAGE LN",
            "address_2": "SUITE 102",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632283",
            "telephone_number": "805-688-3440",
            "fax_number": "805-686-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "JEFFREY",
        "middle_name": "STEVENS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A36291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Joyce Saunders, MD
• Coral Seamount, DDS
• Jean Lorraine Seamount, DDS MSD
• Brice Searles
• David Seltzer, M.D.
• Mark Joel Shultz, D.D.S.
• Jeanette Silva
• Cassie Silvola, O.T.
• Eleanor Meres Simon, RD
• Nicholas Simon

• General Practice Physician in Solvang, CA
• Providers in Solvang, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.