DR. CARL EDWIN SHANGLE


Address: 1201 W La Veta Ave, Choc Children's Specialists, Orange, CA 92868-4203
Phone: 7145093096

DR. CARL EDWIN SHANGLE (NPI# 1396861951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396861951
Entity Type Individual
Full Name DR. CARL EDWIN SHANGLE
Credential MD
Practice Address 1201 W La Veta Ave
Choc Children's Specialists
Orange
CA 92868-4203
Practice Telephone 7145093096
Practice Fax Number 7145093096
Mailing Telephone 7145093096
Mailing Fax Number 7145093096
Enumeration Date 2007-03-22
Last Update Date 2014-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
A104499 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL LICENSE A104499 01

Office Location

Street Address 1201 W LA VETA AVE
CHOC CHILDREN'S SPECIALISTS
City ORANGE
State CA
Zip Code 92868-4203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477552941 Roberto Limgenco Barretto Otolaryngology 1201 W La Veta Ave, Ste. 311, Orange, CA 92868-4213 2005-07-18
1083212054 Mercy Air Service, Inc. Ambulance 1201 W La Veta Ave, Orange, CA 92868-4203 2020-10-13
1225641418 Jonathan Chodosh Strok Nurse Practitioner 1201 W La Veta Ave, Orange, CA 92868-4203 2020-08-26
1881206779 Emma Lind Nurse Practitioner 1201 W La Veta Ave, Orange, CA 92868-4203 2020-08-20
1750993622 Natalie Michelle Adame Nurse Practitioner 1201 W La Veta Ave, Orange, CA 92868-4203 2020-08-20
1578172946 Olivia Armour Tiffany Psychologist 1201 W La Veta Ave, Orange, CA 92868-4203 2020-07-30
1376161323 Tina Halabian Student in an Organized Health Care Education/Training Program 1201 W La Veta Ave, Orange, CA 92868-4203 2020-07-07
1538786041 Alyssa Marie Ramos-chavez Psychologist 1201 W La Veta Ave, Orange, CA 92868-4203 2020-06-30
1588281265 Tiffany Thao Vo Student in an Organized Health Care Education/Training Program 1201 W La Veta Ave, Orange, CA 92868-4203 2020-06-29
1801423769 Jonathan Thorpe Student in an Organized Health Care Education/Training Program 1201 W La Veta Ave, Orange, CA 92868-4203 2020-03-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346859386 Sadaf Abrishami Pharmacist 101 The City Dr S., Orange, CA 92868 2020-07-27
1245869825 Helena Yijia Hong Student in an Organized Health Care Education/Training Program Uci Medical Center, 101 The City Drive, Orange, CA 92868 2020-04-06
1932736527 Joshua Kristopher Livingston Student in an Organized Health Care Education/Training Program 101 The City Dr S, Rte. 128-01, Orange, CA 92868 2020-03-24
1831725894 Michelle Brown Student in an Organized Health Care Education/Training Program 101 The City Dr S. Rte 128-01, Orange, CA 92868 2020-03-20
1093363491 Kristin Lee Pharmacist 132 S. Anita Dr., Orange, CA 92868 2019-08-28
1740834217 Matthew Brian Mecheal Dentist 725 W. La Veta Suite 260, Orange, CA 92868 2019-08-01
1245897990 Brent Tyler Louie Student in an Organized Health Care Education/Training Program 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 2019-05-28
1093277972 Danielle Amato Student in an Organized Health Care Education/Training Program Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 2019-04-01
1851852206 Julia Ting Bu Student in an Organized Health Care Education/Training Program Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 2019-03-28
1326507344 Harrison Beene Lowder Student in an Organized Health Care Education/Training Program 505 S. Main St, Suite 525, Orange, CA 92868 2019-03-19
Find all providers in zip 92868

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295197325 Bret Nolan Pediatrics 101 The City Dr S, Orange, CA 92868-3298 2016-03-28
1427493444 Kristi Megan Kambestad Pediatrics 1201 W La Veta Ave, Orange, CA 92868-4203 2013-05-03
1144468620 Pediatric Subspecialty Faculty, Inc. Pediatrics 455 S Main St, Psf Neonatology, Orange, CA 92868-3835 2009-01-22
1023286101 Rebecca Coleman Pediatrics 101 The City Dr S, Building 56, Suite 600, Orange, CA 92868-3201 2008-02-12
1265629612 Michel Mikhael Pediatrics 455 S Main St, Orange, CA 92868-3835 2007-10-01
1528114774 Jack Howard Sills Pediatrics 101 The City Dr S, Orange, CA 92868-3201 2007-01-27
1235215484 Carrie C Worcester Pediatrics 455 S Main St, Orange, CA 92868-3835 2006-10-31
1609951888 Vijay Dhar Pediatrics 455 S Main St, Orange, CA 92868-3835 2006-10-26
1962582122 Eugene L Mahmoud Pediatrics Uci Medical Center, 101 The City Drive South, Orange, CA 92868 2006-10-16
1841370004 Houchang D Modanlou Pediatrics Uci Medical Center, 101 The City Drive South, Orange, CA 92868 2006-10-16
Find all providers in ORANGE

Competitor

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City ORANGE
Zip Code 92868

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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