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DR. SHANNON CONNOLLY M.D.
NPI 1457677569
Family Medicine in Westminster, CA

Active since April 14, 2010Opted out of Medicare · through Jan 20, 2028
14372 BEACH BLVD, WESTMINSTER, CA 92683(714) 922-4100 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shannon Connolly M.d. NPPES

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

DR. SHANNON CONNOLLY M.D. (NPI 1457677569) is an individual family medicine provider in Westminster, California, licensed in California (A121107) and active in the NPI registry since April 2010. She has opted out of Medicare through January 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457677569
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANNON CONNOLLYCredential: M.D.
Location Address14372 BEACH BLVDWestminster, CA 92683-4578
Mailing Address1920 Colorado AveSanta Monica, CA 90404-3414
Phone(714) 922-4100
Sole ProprietorNo
Enumeration DateApril 14, 2010
Last NPPES UpdateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1457677569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A121107
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14372 BEACH BLVD, Westminster, CA 92683
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shannon Connolly M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 20, 2026 through January 20, 2028.

Opt-Out Effective DateJanuary 20, 2026
Opt-Out In Effect ThroughJanuary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92683 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

JULIE ANN GIBLER NP
Registered Nurse (Women's Health Care, Ambulatory)
14372 BEACH BLVD
WESTMINSTER, CA 92683
Orange County (714) 891-0955
PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO COUNTIES, INC.
Clinic/Center
14372 BEACH BLVD
WESTMINSTER, CA 92683
Orange County (714) 922-4100
MRS. MAISA LE FNP-BC
Nurse Practitioner (Family)
14372 BEACH BLVD
WESTMINSTER, CA 92683
Orange County (714) 922-4100
MANDEEP SIDHU
Physician Assistant
14372 BEACH BLVD
WESTMINSTER, CA 92683
Orange County (714) 891-0995
LAM TRAN RN
Registered Nurse (Women's Health Care, Ambulatory)
14372 BEACH BLVD
WESTMINSTER, CA 92683
Orange County (714) 922-4100
HELEN THANH HASHIMOTO NP
Nurse Practitioner (Family)
14372 BEACH BLVD
WESTMINSTER, CA 92683
Orange County (714) 922-4100

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 Connolly's NPI number?

The NPI number for Shannon Connolly is 1457677569. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Where is Shannon Connolly located?

Shannon Connolly practices at 14372 Beach Blvd, Westminster, CA 92683. The listed phone number is (714) 922-4100.

What is Shannon Connolly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannon Connolly enrolled in Medicare?

No. Shannon Connolly has opted out of Medicare through January 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shannon Connolly was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.