Jeanette L Shattuck (NPI# 1003948928, PAC ID# 8022901008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1003948928 |
| PAC ID by PECOS | 8022901008 |
| Professional Enrollment ID | I20040204000379 |
| Full Name | Jeanette L Shattuck |
| Organization Legal Name | SHATTUCK REHABILITATION SERVICES |
| Address |
4772 Katella Ave Suite 100 Los Alamitos CA 90720-2681 |
| Phone Number | 5624308700 |
| Gender | F |
| Credential | OT |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 8426941402 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4772 Katella Ave, Suite 100, Los Alamitos, CA 90720-2681 | 5624308700 | SHATTUCK REHABILITATION SERVICES |
| 4772 Katella Ave, Los Alamitos, CA 90720-2681 | 5624308700 | SHATTUCK REHABILITATION SERVICES |
| Organization Legal Name | SHATTUCK REHABILITATION SERVICES |
| Physicians | 1 |
| Street Address |
4772 KATELLA AVE SUITE 100 |
| City | LOS ALAMITOS |
| State | CA |
| Zip | 90720-2681 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Hertz | Gastroenterology | Comprehensive Gi Care A Professional Medical Group Inc | 4772 Katella Ave, Suite 200, Los Alamitos, CA 90720-2683 |
| Kashyap Harshad Trivedi | Gastroenterology | Comprehensive Gi Care A Professional Medical Group Inc | 4772 Katella Ave, Suite 200, Los Alamitos, CA 90720-2683 |
| Kimberly Tashkin | Physical Therapy | Hands On Hands Rehabilitation Center, Inc | 4772 Katella Ave, Suite 100, Los Alamitos, CA 90720-2681 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haniffa M Maznavi | Internal Medicine | 3791 Katella Ave, Suite 101, Los Alamitos, CA 90720-2000 | |
| Sharon Kelly | Psychologist, Clinical | 3791 Katella Ave, Suite 106, Los Alamitos, CA 90720-2000 | |
| Lawrence G Waldrop | Internal Medicine | 3791 Katella Ave, Suite 104, Los Alamitos, CA 90720-2000 | |
| Mauricio J Heilbron Jr. | General Surgery | Prohealth Partners, A Medical Group | 3791 Katella Ave, Suite 107, Los Alamitos, CA 90720-2000 |
| Harold M Lin | Internal Medicine | 3791 Katella Ave, Suite 105, Los Alamitos, CA 90720-2000 | |
| Mark M Chung | Pulmonary Disease | 3791 Katella Ave, Suite 103, Los Alamitos, CA 90720-2000 | |
| Steve C Landis | Chiropractic | 3621 Farquhar Ave, Los Alamitos, CA 90720-2005 | |
| Craig F Hite | Chiropractic | 3621 Farquhar Ave, Los Alamitos, CA 90720-2005 | |
| David L Vannix | General Surgery | Vascular and General Surgery Associates | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-2016 |
| Fritz Baumgartner | Thoracic Surgery | Vascular and General Surgery Associates | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-2016 |
| Find all physicians in zip 90720 | |||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | LOS ALAMITOS + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Jeanette L Shattuck.
| 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.