Kevin C Shannon
SAC HEALTH SYSTEM


Address: 1454 E 2nd St, San Bernardino, CA 92408-0118
Phone: 9093827100

Kevin C Shannon (NPI# 1356470314, PAC ID# 3072544782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1356470314
PAC ID by PECOS 3072544782
Professional Enrollment ID I20120821000322
Full Name Kevin C Shannon
Organization Legal Name SAC HEALTH SYSTEM
Address 1454 E 2nd St
San Bernardino
CA 92408-0118
Phone Number 9093827100
Gender M
Credential MD
Medical School UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 1985
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 4385533579
Number of Group Practice Members 116
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050327 LOMA LINDA UNIVERSITY MEDICAL CENTER

Other Locations

Address Phone Organization
1454 E 2nd St, San Bernardino, CA 92408-0118 9093827100 SAC HEALTH SYSTEM
250 S G St, San Bernardino, CA 92410-3320 9093827100 SAC HEALTH SYSTEM

Organization Information

Organization Legal Name SAC HEALTH SYSTEM
Physicians 29

Physicians with the same organization

Name Specialty Organization Address
Daniel Samano Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Douglas R Hegstad Hospitalist Sac Health System 250 S G St, San Bernardino, CA 92410-3320
Brenda J Boyle Nurse Practitioner Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Roger D Woodruff Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Alma M Palisoc Preventative Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Maria Lohr Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Catherine Jl Kelly Psychologist, Clinical Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Ann D Curtis Clinical Social Worker Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Jennifer Li Hospitalist Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Janel L Calinisan Psychologist, Clinical Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118

Office Location

Street Address 1454 E 2ND ST
City SAN BERNARDINO
State CA
Zip 92408-0118

Physicians in the same location

Name Specialty Organization Address
Daniel Samano Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Brenda J Boyle Nurse Practitioner Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Roger D Woodruff Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Alma M Palisoc Preventative Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Maria Lohr Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Catherine Jl Kelly Psychologist, Clinical Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Ann D Curtis Clinical Social Worker Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Jennifer Li Hospitalist Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Janel L Calinisan Psychologist, Clinical Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Christen Leah Cuevas Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Bonnie I Chi Lum Preventative Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Harvey A Elder Internal Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Van T Nguyen Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Jason Lohr Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Mai-linh Ngoc Tran Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Randy Michael Stinnett Psychologist, Clinical Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
David Ahamba Family Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Kenneth W Hart Preventative Medicine Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Hang T Lee Nurse Practitioner Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Sonia Guilfoos Clinical Social Worker Sac Health System 1454 E 2nd St, San Bernardino, CA 92408-0118
Find all physicians in zip 92408

Competitor

Search similar physicians

City SAN BERNARDINO
Zip Code 92408
Specialty FAMILY MEDICINE
City + Specialty SAN BERNARDINO + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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