Individual provider Active NPI

Shasty Franco, LVN

  • Licensed Vocational Nurse
  • Costa Mesa, CA
National Provider Identifier
1982281812
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
716650 Issued in CA
Practice address
3540 Howard Way Ste 150
Costa Mesa, CA 92626-1496
Phone
(949) 646-9227
Fax
(949) 646-9191
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 716650 CA Primary

Addresses

Primary practice location

3540 Howard Way Ste 150
Costa Mesa, CA 92626-1496

Mailing address

7202 Fenway Dr Apt C
Westminster, CA 92683-3164
Phone (714) 300-4409

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
716650CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Association for Mental Health PastSince Mar 28, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1982281812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 FENWAY DR APT C",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833164",
            "telephone_number": "714-300-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 HOWARD WAY STE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261496",
            "telephone_number": "949-646-9227",
            "fax_number": "949-646-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCO",
        "first_name": "SHASTY",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "716650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.