SHANNON FAMENINI (NPI# 1578959573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578959573 |
| Entity Type | Individual |
| Full Name | SHANNON FAMENINI |
| Practice Address |
333 City Blvd W Ste 400 Orange CA 92868-2994 |
| Mailing Address |
10503 Woodfield Ct Los Angeles CA 90077-2033 |
| Practice Telephone | 3102708473 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
333 CITY BLVD W STE 400 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-2994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275780132 | Rajsree D Nambudripad | Internal Medicine | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2008-08-22 |
| 1710482690 | Nicholas James Hutchings | Student in an Organized Health Care Education/Training Program | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2018-03-24 |
| 1619487311 | Theresa Thao Nguyen | Dietitian, Registered | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2017-10-07 |
| 1710403498 | Kyle Joshua Fortinsky | Internal Medicine | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2017-08-15 |
| 1417311739 | Michelle Tsukamoto | Student in an Organized Health Care Education/Training Program | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2016-04-12 |
| 1255795092 | Hanna Liu | Student in an Organized Health Care Education/Training Program | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2016-04-07 |
| 1417311572 | Joseph Tseng | Student in an Organized Health Care Education/Training Program | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2016-04-05 |
| 1508276197 | Dinora Beatriz Chinchilla | Internal Medicine | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2014-05-05 |
| 1497173587 | Christopher Viet Nguyen | Radiology | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2014-04-04 |
| 1326466426 | Andy Huang | Internal Medicine | 333 City Blvd W Ste 400, Orange, CA 92868-2994 | 2014-04-04 |
| Find all providers in the same location | ||||
| 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 Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972122109 | Benjamin Felt Bitner | Student in an Organized Health Care Education/Training Program | 101 The City Dr S # Zot5386, Orange, CA 92868-3201 | 2020-04-08 |
| 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 |
| 1508492547 | Megan Rose Defuria | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 524, Orange, CA 92868-4509 | 2020-03-22 |
| 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 |
| 1023661899 | Brittanee Lorynda Carranza | Student in an Organized Health Care Education/Training Program | 301 The City Dr S # 44, Orange, CA 92868-3205 | 2019-07-22 |
| 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 |
| 1760047930 | Nina Christine Del Mundo | Student in an Organized Health Care Education/Training Program | 5817 E West View Dr, Orange, CA 92869-4315 | 2019-05-03 |
| 1720541048 | Elaine Christine Martin | Student in an Organized Health Care Education/Training Program | 101 The City Dr S # 2, Orange, CA 92868-3201 | 2019-04-12 |
| 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 |
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| 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.