RODERICK EMMANUEL SHANER (NPI# 1669560181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669560181 |
| Entity Type | Individual |
| Full Name | RODERICK EMMANUEL SHANER |
| Credential | M.D. |
| Practice Address |
550 S Vermont Ave Los Angeles CA 90020-1912 |
| Practice Telephone | 2137384603 |
| Practice Fax Number | 2133861297 |
| Mailing Telephone | 2137384603 |
| Mailing Fax Number | 2133861297 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
G34438 | CA | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G34438 | CA | Allopathic & Osteopathic Physicians |
| X | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
G34438 | CA | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G34438 | CA | Allopathic & Osteopathic Physicians |
| X | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
G34438 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
550 S VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447217781 | Glenn Francis Vrabel | Psychologist | 550 S Vermont Ave, 10th Floor, Los Angeles, CA 90020-1912 | 2006-04-28 |
| 1437750577 | Jorge Eliseo Lopez | Driver | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-11-04 |
| 1831790138 | Cynthia Arnell Williams | Behavior Technician | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-11-03 |
| 1770183550 | Candice Hendrix | Behavior Technician | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-10-29 |
| 1083214084 | Gabrielle Denise Parker | Community Health Worker | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-10-28 |
| 1003433368 | Shannon Ashly Requena | Student in an Organized Health Care Education/Training Program | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-07-01 |
| 1053934364 | David Snell | Case Manager/Care Coordinator | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-05-20 |
| 1891315974 | Desiree Block Hegazy | Registered Nurse | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-04-20 |
| 1669091773 | Doris Benosa | Registered Nurse | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-04-09 |
| 1598314874 | Cosette Carleo | Social Worker | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2019-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081327 | Bacchus, Moghaddam, Musngi, Shwayder Medical Corp. | Psychiatry & Neurology | 6801 Park Ter # 530b, Los Angeles, CA 90045-1543 | 2019-03-06 |
| 1689895195 | Daniel William Schaefer | Psychiatry & Neurology | 8730 Alden Dr #c-301, Los Angeles, CA 90048 | 2007-05-01 |
| 1003182007 | Christopher Bradley Lening | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-1544 | 2012-03-24 |
| 1770710501 | Brian Hurley | Psychiatry & Neurology | 10780 Santa Monica Blvd Ste 105, Los Angeles, CA 90025-7613 | 2009-06-19 |
| 1003075037 | Inna Keselman | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095 | 2008-06-05 |
| 1356543797 | Gerald Ivan Rozansky | Psychiatry & Neurology | 1850 Sawtelle Blvd, 490, Los Angeles, CA 90025-7084 | 2007-06-05 |
| 1215054481 | Phuong Chi Truong | Psychiatry & Neurology | 1520 San Pablo St Ste 1652, Los Angeles, CA 90033-5321 | 2007-03-23 |
| 1912034141 | Praveen Reddy Kambam | Psychiatry & Neurology | 11500 W Olympic Blvd, 538, Los Angeles, CA 90064 | 2007-02-27 |
| 1871666776 | Vera Marie Muensch | Psychiatry & Neurology | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2006-11-16 |
| 1659455244 | Charles Patterson | Psychiatry & Neurology | 1200 N State St, Los Angeles, CA 90033-1029 | 2006-10-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
Please comment or provide details below to improve the information on RODERICK EMMANUEL SHANER.
| 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.