Shannen Reambonanza Pichay, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95027312 Issued in CA

Practice address

1477 S Manchester Ave
Anaheim, CA 92802-2905

Phone

(782) 714-1700

NPI assigned

Jun 11, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Shannen Venice Reambonanza Pichay Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1699517631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20305 KLYNE ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 S MANCHESTER AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022905",
            "telephone_number": "782-714-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHAY",
        "first_name": "SHANNEN",
        "middle_name": "REAMBONANZA",
        "name_prefix": "Miss",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNEN VENICE",
            "last_name": "PICHAY",
            "middle_name": "REAMBONANZA",
            "prefix": "MISS",
            "credential": "MSN, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Phung, OD
• Tieu O Phung, M.D.
• Phuong My Ngo and Con Ngoc Tran, DDS, Inc.
• Physiotherapy Associates, Inc.
• Benjamin Y Pi, DDS
• Heidi T Pickering, P.T.
• Kevin Pickering, RADT
• Sandra Picos
• Judah Picou
• Vonda Jozette Pierce

• Family Nurse Practitioner in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.