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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANE PETRIE
NPI 1205734662
Licensed Vocational Nurse in Santa Fe Springs, CA

Active since October 27, 2026
11111 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670(562) 906-2685 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shane Petrie NPPES

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

SHANE PETRIE (NPI 1205734662) is an individual licensed vocational nurse in Santa Fe Springs, California, licensed in California (756896) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1205734662
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameSHANE PETRIE
Location Address11111 BLOOMFIELD AVESanta Fe Springs, CA 90670-4655
Mailing Address12070 Telegraph RdSanta Fe Springs, CA 90670-3771 · (562) 777-7500 · Fax (562) 777-7510
Phone(562) 906-2685
Sole ProprietorYes
Enumeration DateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1205734662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 756896
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
11111 BLOOMFIELD AVE, Santa Fe Springs, CA 90670
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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.

LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE
Substance Abuse Rehabilitation Facility
11111 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2686
AMANDA DAWN MATHEWS
Peer Specialist
11111 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2685
ERICK RODRIGUEZ
Licensed Vocational Nurse
11111 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2685
DAVID MORALES
Counselor (Addiction (Substance Use Disorder))
11111 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2685
DRAKE CAUDILLO
Counselor (Addiction (Substance Use Disorder))
11111 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2685
JULIO CESAR GUEVARA
Counselor (Addiction (Substance Use Disorder))
11111 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2685
DENISE HERNANDEZ
Marriage & Family Therapist
11111 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2685
GUIDO REFUGIO REYNAGA
Counselor (Addiction (Substance Use Disorder))
11111 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670
Los Angeles County (562) 906-2676

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 Shane Petrie's NPI number?

The NPI number for Shane Petrie is 1205734662. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Where is Shane Petrie located?

Shane Petrie practices at 11111 Bloomfield Ave, Santa Fe Springs, CA 90670. The listed phone number is (562) 906-2685.

What is Shane Petrie's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Shane Petrie was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.