Individual provider Active NPI

Shanna Treanor, MD

  • Dermatology Physician
  • Bakersfield, CA
National Provider Identifier
1700895018
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A70557 Issued in CA
Practice address
5101 Commerce Dr
Suite 101
Bakersfield, CA 93309-0411
Phone
(661) 327-3756
Fax
(661) 327-2332
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X A70557 CA
Pediatrics Physician 208000000X A70557 CA
Dermatology Physician 207N00000X A70557 CA Primary

Addresses

Primary practice location

5101 Commerce Dr
Suite 101
Bakersfield, CA 93309-0411

Mailing address

5101 Commerce Dr
Suite 101
Bakersfield, CA 93309-0411
Phone (661) 327-3756

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000975 CA Practitioner - Pediatric MedicinePractitioner - Dermatology 1052390663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Dermatology
Education
Howard University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey J Crowley MD IncGroup PAC ID 5698672749, 3 clinicians

Practice addresses (Care Compare)

5101 Commerce Dr
Suite 101
Bakersfield, CA 93309-0412
Phone (661) 327-3756

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
49.06
Improvement activities
40
Cost
70.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions707
Removal or shaving of skin growth85
Skin biopsy75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70557CAMDGeriatric Pharmacist
A70557CAMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey J. Crowley, M.D., Inc. Dermatology CurrentSince Sep 1, 2016 Accepting new patients

Locations

5101 Commerce Dr
Ste 101
Bakersfield, CA 93309
Phone (661) 327-3756

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1700895018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090411",
            "telephone_number": "661-327-3756",
            "fax_number": "661-327-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090411",
            "telephone_number": "661-327-3756",
            "fax_number": "661-327-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREANOR",
        "first_name": "SHANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-12-01",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "A70557",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70557",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A70557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3733 San Dimas St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933011407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.