SHAWN T. VAN ENOO, D.P.M. A PROFESSIONAL CORPORATION (NPI# 1740512235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740512235 |
| Entity Type | Organization |
| Organization Name | SHAWN T. VAN ENOO, D.P.M. A PROFESSIONAL CORPORATION |
| Practice Address |
11911 Artesia Blvd #103 Cerritos CA 90703-4070 |
| Practice Telephone | 5624022489 |
| Practice Fax Number | 5628097219 |
| Mailing Telephone | 5624022489 |
| Mailing Fax Number | 5628097219 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-12-16 |
| Authorized Official Name | SHAWN T VAN ENOO (PRESIDENT) |
| Authorized Official Telephone | 5624022489 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E4322 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
11911 ARTESIA BLVD #103 |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-4070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710073812 | Personal Best Physical Therapy | Physical Therapist | 11911 Artesia Blvd, Suite 207, Cerritos, CA 90701-4065 | 2006-10-05 |
| 1871039487 | Pure Care Hospice, Inc. | Hospice Care, Community Based | 11911 Artesia Blvd, Suite 208, Cerritos, CA 90701-4065 | 2017-01-06 |
| 1336540087 | Han Orthopaedics | Clinic/Center | 11911 Artesia Blvd, Suite 105, Cerritos, CA 90701-4065 | 2014-09-12 |
| 1235540741 | John Kim M.d. A Professional Corporation | Family Medicine | 11911 Artesia Blvd, Suit #101, Cerritos, CA 90701-4065 | 2014-05-19 |
| 1386078327 | Teresa Jiwon Kim | Nurse Practitioner | 11911 Artesia Blvd, Ste#101, Cerritos, CA 90701-4065 | 2013-08-27 |
| 1194013110 | Angels of The Valley Hospice Care South Bay | Hospice Care, Community Based | 11911 Artesia Blvd, Suite 104a, Cerritos, CA 90701-4065 | 2011-07-11 |
| 1538477278 | Reemar Medical Group, Inc. | Specialist | 11911 Artesia Blvd, Suite 104-b, Cerritos, CA 90701-4065 | 2010-09-15 |
| 1871768663 | Cerritos Medical Center, Inc | Family Medicine | 11911 Artesia Blvd, Ste 101, Cerritos, CA 90701-4065 | 2008-04-23 |
| 1104031715 | Lorraine Monica Johnson | Chiropractor | 11911 Artesia Blvd, Cerritos, CA 90701-4065 | 2007-05-14 |
| 1689725566 | Angela H. Jun | Nurse Practitioner | 11911 Artesia Blvd, Cerritos, CA 90701-4065 | 2007-01-16 |
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| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
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| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
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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.