Individual provider Active NPI

Shannon Ordon, MD

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1881125755
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A159876 Issued in CA
Practice address
760 Westwood Plaza, Ste. 37-384
UCLA Psychiatry Housestaff Office
Los Angeles, CA 90024
Phone
(310) 985-4599
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A159876 CA
Student in an Organized Health Care Education/Training Program 390200000X
Specialist 174400000X A159876 CA Primary

Addresses

Primary practice location

760 Westwood Plaza, Ste. 37-384
UCLA Psychiatry Housestaff Office
Los Angeles, CA 90024

Mailing address

760 Westwood Plaza, Ste. 37-384
UCLA Psychiatry Housestaff Office
Los Angeles, CA 90024

Other practice location 1

2116 Arlington Ave Ste 100
Los Angeles, CA 90018-1353
Phone (323) 334-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A159876CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1881125755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLAZA, STE. 37-384",
            "address_2": "UCLA PSYCHIATRY HOUSESTAFF OFFICE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLAZA, STE. 37-384",
            "address_2": "UCLA PSYCHIATRY HOUSESTAFF OFFICE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "310-985-4599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 Arlington Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900181353",
            "country_code": "US",
            "telephone_number": "323-334-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORDON",
        "first_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A159876",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A159876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.