SHANNON SNOOK DRALLA M.D.
NPI 1073855326
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since March 25, 2013PECOS Enrolled
751 S BASCOM AVE, 7C054, SAN JOSE, CA 95128(408) 885-5110 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Snook Dralla M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON SNOOK DRALLA M.D. (NPI 1073855326) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073855326
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON SNOOK DRALLACredential: M.D.
Location Address751 S BASCOM AVE, 7C054San Jose, CA 95128-2604
Mailing Address751 S Bascom Ave, 7c054San Jose, CA 95128-2604 · (408) 885-5110
Sole ProprietorNo
Enumeration DateMarch 25, 2013
Last NPPES UpdateJanuary 10, 2022
NPI 1073855326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
751 S BASCOM AVE, San Jose, CA 95128

Other Names 1

Other Name (5)Shannon Helene Snook

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Snook Dralla M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Dralla's NPI number?

The NPI number for Shannon Dralla is 1073855326. It was assigned to this individual provider in the NPPES registry on March 25, 2013. The provider is also known as Shannon Helene Snook.

Where is Shannon Dralla located?

Shannon Dralla practices at 751 S Bascom Ave 7c054, San Jose, CA 95128. The listed phone number is (408) 885-5110.

What is Shannon Dralla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Dralla enrolled in Medicare?

Yes. Shannon Dralla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Dralla was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.