Shannon Dockham (NPI# 1679139943, PAC ID# 7315272432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679139943 |
| PAC ID by PECOS | 7315272432 |
| Professional Enrollment ID | I20190711002607 |
| Full Name | Shannon Dockham |
| Organization Legal Name | CALIFORNIA EMERGENCY PHYSICIANS |
| Address |
1580 Winchester Blvd Suite 202 Campbell CA 95008-0519 |
| Phone Number | 4083647600 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345204251 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1580 Winchester Blvd, Suite 202, Campbell, CA 95008-0519 | 4083647600 | CALIFORNIA EMERGENCY PHYSICIANS |
| 554 Blossom Hill Rd, San Jose, CA 95123-3212 | 4083608490 | CALIFORNIA EMERGENCY PHYSICIANS |
| Organization Legal Name | CALIFORNIA EMERGENCY PHYSICIANS |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie J Cheng | Nurse Practitioner | California Emergency Physicians | 1580 Winchester Blvd, Suite 202, Campbell, CA 95008-0519 |
| Diana F Fink | Internal Medicine | California Emergency Physicians | 8833 Monterey Rd, Suite H, Gilroy, CA 95020-7200 |
| Samuel Joseph Cipoletti | Family Medicine | California Emergency Physicians | 554 Blossom Hill Rd, San Jose, CA 95123-3212 |
| Elham Louis | Emergency Medicine | California Emergency Physicians | 8833 Monterey Rd, Suite H, Gilroy, CA 95020-7200 |
| Bina P Raghavan | Physician Assistant | California Emergency Physicians | 8833 Monterey Rd, Suite H, Gilroy, CA 95020-7200 |
| Kelly Setoguchi | Physician Assistant | California Emergency Physicians | 8833 Monterey Rd, Suite H, Gilroy, CA 95020-7200 |
| Lalaine Abrajano Garsula | Nurse Practitioner | California Emergency Physicians | 1580 Winchester Blvd, Suite 202, Campbell, CA 95008-0519 |
| Karen J Price | Physician Assistant | California Emergency Physicians | 1580 Winchester Blvd, Suite 202, Campbell, CA 95008-0519 |
| Jocelyn G Lim | Family Practice | California Emergency Physicians | 8833 Monterey Rd, Suite H, Gilroy, CA 95020-7200 |
| Christina C Kennaday | Physical Therapy | California Emergency Physicians | 554 Blossom Hill Rd, San Jose, CA 95123-3212 |
| Street Address |
1580 WINCHESTER BLVD SUITE 202 |
| City | CAMPBELL |
| State | CA |
| Zip | 95008-0519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie J Cheng | Nurse Practitioner | California Emergency Physicians | 1580 Winchester Blvd, Suite 202, Campbell, CA 95008-0519 |
| Lalaine Abrajano Garsula | Nurse Practitioner | California Emergency Physicians | 1580 Winchester Blvd, Suite 202, Campbell, CA 95008-0519 |
| Karen J Price | Physician Assistant | California Emergency Physicians | 1580 Winchester Blvd, Suite 202, Campbell, CA 95008-0519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody L Lynd | Plastic and Reconstructive Surgery | 80 E Hamilton Ave, Campbell, CA 95008-0204 | |
| Jennifer Strangis | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Jared M Mason | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Sandra Deryke | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Allison Lorraine Keneally | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Sarah E Christiansen | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Michelle Regoli | Occupational Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Jennifer Jones | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Kanchan Anjaneya Thakar | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Albert Tailon Chang | Optometry | Peter W Ross Od and Larry K Wan Od Inc | 338 E Hamilton Ave, Campbell, CA 95008-0207 |
| Find all physicians in zip 95008 | |||
| City | CAMPBELL |
| Zip Code | 95008 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CAMPBELL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon Dockham.
| 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.