Kathryn Shannon McMenaman, D.O

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

20A-13050 Issued in CA

Practice address

1201 W la Veta Ave
Orange, CA 92868

Phone

(323) 333-0831

NPI assigned

Apr 6, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• BC Medical, a Professional Medical Corporation

  • Pediatrics Physician
  • Hermosa Beach, CA
  • NPI 1720440258
  NPD (past) Authorized official

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1770849416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 MANHATTAN AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542541",
            "telephone_number": "323-333-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "323-333-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMENAMAN",
        "first_name": "KATHRYN",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "20A-13050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Dewitt McLouth, MD
• Shannon Nicole McManigal, AMFT
• Vanni Michelle McManis
• Mallory Danielle McManus
• William C McMaster, M.D.
• Jessica Cole McMichael, M.D.
• Ali McNab
• Veronica H McNamara, FNP
• Susan McNulty, MA, OTRL
• Aliyah McPherson

• Pediatric Critical Care Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Critical Care Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.