Active NPI
Nancy A. Shinno, MD
- Clinical Genetics (M.D.) Physician
- Los Angeles, CA
National Provider Identifier
1962579896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- G18776
- Practice address
- 4760 W Sunset Blvd
Los Angeles, CA 90027-6063 - Phone
- (323) 783-4011
- NPI assigned
- Nov 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | G18776 | CA | Primary |
Addresses
Primary practice location
4760 W Sunset Blvd
Los Angeles, CA 90027-6063
Mailing address
4760 W Sunset Blvd
Los Angeles, CA 90027-6063
Phone (323) 783-4011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G18776 | CA | MD | Clinical Genetics (M.D.) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1962579896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276063",
"telephone_number": "323-783-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276063",
"telephone_number": "323-783-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINNO",
"first_name": "NANCY",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "CA",
"license": "G18776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.