DR. SHANNON FARRELL (NPI# 1699806703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699806703 |
| Entity Type | Individual |
| Full Name | DR. SHANNON FARRELL |
| Credential | D.C. |
| Practice Address |
1294 W 6th St Suite 203 San Pedro CA 90731-2987 |
| Practice Telephone | 3108339339 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC24857 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942530845 | Shannon Paula Farrell | Speech-Language Pathologist | 1410 E Gary Dr, Chandler, AZ 85225-1570 | 2009-12-28 |
| 1124249271 | Shannon Marie Farrell | Dentist | 373 S Willow St, D1-6, Manchester, NH 03103-5751 | 2007-05-02 |
| 1316598022 | Shannon Marie Farrell | Pharmacist | 813 Hospital Dr, Andrews, TX 79714-3618 | 2019-09-24 |
| 1417350976 | Shannon Lenore Farrell | Physician Assistant | Department of Neurological Surgery Ucsf, 400 Parnassus Avenue, Room A311, San Francisco, CA 94143-0332 | 2014-09-29 |
| 1508039264 | Shannon Rae Farrell | Physical Therapist | 7440 N Shadeland Ave, 130, Indianapolis, IN 46250-2029 | 2008-04-02 |
| 1669687158 | Shannon P Farrell | Speech-Language Pathologist | 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 | 2007-05-10 |
| Street Address |
1294 W 6TH ST SUITE 203 |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346295391 | Andrew P Novom | Specialist | 1294 W 6th St, Ste#102, San Pedro, CA 90731-2987 | 2006-05-24 |
| 1093379091 | Graham Gage | Physical Therapist | 1294 W 6th St, San Pedro, CA 90731-2987 | 2019-04-24 |
| 1891197208 | Brandon Edenedo | Physical Therapist | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2987 | 2014-09-17 |
| 1619213485 | Der-how Huang | Physical Therapist | 1294 W 6th St, 101, San Pedro, CA 90731-2987 | 2012-12-21 |
| 1023340627 | Alice Wang | Physical Therapist | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2987 | 2010-02-05 |
| 1134380249 | Kimberly R Walton Md Inc | Obstetrics & Gynecology | 1294 W 6th St, 201-a, San Pedro, CA 90731-2987 | 2008-06-20 |
| 1003020231 | Borrowed Star Psychology Group, Inc | Psychologist | 1294 W 6th St, Suite 105, San Pedro, CA 90731-2987 | 2007-05-09 |
| 1962629162 | Great Harbor Family & Sports Medicine, Inc | General Practice | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-04-19 |
| 1851425417 | Cindy Baldonado | Physician Assistant | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-03-15 |
| 1518074160 | Genesa Wagoner | Pediatrics | 1294 W 6th St, Suite 104, San Pedro, CA 90731-2987 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639646078 | Elyasi Chiropractic, Apc | Chiropractor | 505 S Pacific Ave Ste 103, San Pedro, CA 90731-2656 | 2018-10-24 |
| 1629555958 | Guru Chiropractic Wellness Inc. | Chiropractor | 522 W 9th St, San Pedro, CA 90731-3106 | 2018-07-19 |
| 1902290273 | Joseph Bahan | Chiropractor | 800 S Pacific Ave, San Pedro, CA 90731-3265 | 2015-03-25 |
| 1063854164 | Rustin Wilson Chiropractic Corporation | Chiropractor | 525 W 7th St, San Pedro, CA 90731-3115 | 2013-07-18 |
| 1578811535 | Kombiz Pouteymoor | Chiropractor | 789 W 9th St, San Pedro, CA 90731-3601 | 2012-08-24 |
| 1508176603 | Virginia Guterac Mendoza | Chiropractor | 601 W 8th St, San Pedro, CA 90731-3121 | 2010-10-07 |
| 1952620049 | Port Medical San Pedro | Chiropractor | 407 N Harbor Blvd, San Pedro, CA 90731-2243 | 2010-05-27 |
| 1104141084 | Roger Christopher Mcgath | Chiropractor | 732 W 9th St Ste 205, San Pedro, CA 90731-3629 | 2010-04-02 |
| 1801029988 | Rockford Bennett | Chiropractor | 165 W 6th St, San Pedro, CA 90731-3313 | 2009-08-24 |
| 1114153558 | Ted Nabewari | Chiropractor | 643 S Butte St, San Pedro, CA 90732-3510 | 2009-05-29 |
| Find all providers in SAN PEDRO | ||||
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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.