Active NPI
Shawn T. Van Enoo, D.P.M. a Professional Medical Corporation
- Podiatrist
- Cerritos, CA
National Provider Identifier
1740512235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4322
- Legal business name
- SHAWN T. VAN ENOO, D.P.M. A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 11911 Artesia Blvd
#103
Cerritos, CA 90703-4070 - Phone
- (562) 402-2489
- Fax
- (562) 809-7219
- NPI assigned
- Feb 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn T Van Enoo, DPM
- Title
- President
- Phone
- (562) 402-2489
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4322 | CA | Primary |
Addresses
Primary practice location
11911 Artesia Blvd
#103
Cerritos, CA 90703-4070
Mailing address
11911 Artesia Blvd Ste 103
Cerritos, CA 90701-4070
Phone (562) 402-2489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11911 Artesia Blvd
Ste 103
Cerritos, CA 90701
Phone (562) 402-2489
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBGCDD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Cerritos, CA
- NPI 1073540688
-
- Podiatrist
- Anaheim, CA
- NPI 1932788544
-
- Primary Podiatric Medicine Podiatrist
- Artesia, CA
- NPI 1407986995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758844800000",
"number": "1740512235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11911 ARTESIA BLVD STE 103",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907014070",
"telephone_number": "562-402-2489",
"fax_number": "562-809-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 ARTESIA BLVD",
"address_2": "#103",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907034070",
"telephone_number": "562-402-2489",
"fax_number": "562-809-7219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWN T. VAN ENOO, D.P.M. A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-08",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A",
"authorized_official_last_name": "VAN ENOO",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-402-2489",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E4322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.