Active NPI
Shanna Treanor, MD
- Dermatology Physician
- Bakersfield, CA
National Provider Identifier
1700895018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A70557
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Howard University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 49.06
- Improvement activities
- 40
- Cost
- 70.44
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 14 |
| Removal of skin lesions | 707 |
| Removal or shaving of skin growth | 85 |
| Skin biopsy | 75 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70557 | CA | MD | Geriatric Pharmacist |
| A70557 | CA | MD | Pediatric Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey J. Crowley, M.D., Inc. | Dermatology | Current | 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.
-
- Dermatology Physician
- Bakersfield, CA
- NPI 1538214804
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
- Tranquility Valley Wellness Clinical Social Work Corporation
- Transcendent Care Group, Inc.
- Transform Wellness Therapy Services Inc.
- Thomas B Traut, RKT
- Stevi Leanne Travis
- Fabian Daniel Trebizo II, CADC II
- Marisa Garcia Trebizo, M.A., LMFT
- Ty Franklin Treece, NP
- Jodie L Trees, LVN
- Katarina Aurora Treiberg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.