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SHALON M. NIENOW MD
NPI 1255592465
Pediatrics - Child Abuse Pediatrics in San Diego, CA

Active since June 19, 2008PECOS Enrolled
3665 KEARNY VILLA RD STE 501, SAN DIEGO, CA 92123(858) 966-5980 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shalon M. Nienow Md NPPES

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

SHALON M. NIENOW MD (NPI 1255592465) is an individual child abuse pediatrics provider in San Diego, California, licensed in California (A155289) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1255592465
Entity TypeIndividualFemale
Primary Taxonomy2080C0008X
Provider Legal NameSHALON M. NIENOWCredential: MD
Location Address3665 KEARNY VILLA RD STE 501San Diego, CA 92123
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Phone(858) 966-5980
Sole ProprietorNo
Enumeration DateJune 19, 2008
Last NPPES UpdateJune 19, 2018
✔ NPI 1255592465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080C0008X
Licenses✔ Licensed in CA · A155289✔ Licensed in NM · MD2014-0119
Definition
A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
Also ListedPediatricsTaxonomy 208000000X · License A155289 (CA)
3665 KEARNY VILLA RD STE 501, San Diego, CA 92123
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Other Names 1

Former Name (1)Shalon Marie Heckman

Secondary Practice Location 1

Location 1625 Silver Ave SW Ste 200Albuquerque, NM 87102-3184 · Phone (505) 272-6849

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shalon M. Nienow Md 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 4

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

NICOLE MAE KETRING AYSON M.D.
Pediatrics
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (858) 966-5803
RADY CHILDREN'S HOSPITAL SAN DIEGO
Special Hospital
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (406) 868-1792
DR. PREMI THOMAS SURESH M.D.
Pediatrics (Child Abuse Pediatrics)
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (858) 966-5980
SUZANNE P. STARLING M.D.
Pediatrics (Child Abuse Pediatrics)
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (858) 966-5803

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 Shalon Nienow's NPI number?

The NPI number for Shalon Nienow is 1255592465. It was assigned to this individual provider in the NPPES registry on June 19, 2008. The provider is also known as Shalon Marie Heckman.

Where is Shalon Nienow located?

Shalon Nienow practices at 3665 Kearny Villa Rd Ste 501, San Diego, CA 92123. The listed phone number is (858) 966-5980.

What is Shalon Nienow's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Is Shalon Nienow enrolled in Medicare?

Yes. Shalon Nienow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shalon Nienow was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.