Active NPI
Shawn Pejuta Wanbli Franklin, MD
- Emergency Medicine Physician
- Santa Rosa, CA
National Provider Identifier
1669422507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A64585
- Practice address
- 3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678 - Phone
- (707) 521-4495
- Fax
- (707) 573-5421
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A64585 | CA | Primary |
Addresses
Primary practice location
3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (707) 521-4495
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Harvard Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3883 Airway Dr
Santa Rosa, CA 95403-1671
795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020
Hospital & facility affiliations
- Sutter Santa Rosa Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Interoperability endpoints
- sfranklin221921@hisp.ehr.sutterhealth.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Berkeley, CA
- NPI 1831381623
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1669422507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "707-521-4495",
"fax_number": "707-573-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3883 AIRWAY DR STE 120",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954031678",
"telephone_number": "707-521-4495",
"fax_number": "707-573-5421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "SHAWN",
"middle_name": "PEJUTA WANBLI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A64585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.