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SHAWN JOSEPH BISSONNETTE MD
NPI 1558451963
Pediatrics in San Diego, CA

Active since October 14, 2006CLIA 05D2197099 · Waiver
9855 ERMA RD, #133, SAN DIEGO, CA 92131(858) 621-5600(858) 621-5603 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawn Joseph Bissonnette Md NPPES

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

SHAWN JOSEPH BISSONNETTE MD (NPI 1558451963) is an individual pediatrics provider in San Diego, California, licensed in California (G44492) and active in the NPI registry since October 2006. He holds a CLIA Waiver certificate valid through August 10, 2027.

NPPES Registry Identity

NPI1558451963
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSHAWN JOSEPH BISSONNETTECredential: MD
Location Address9855 ERMA RD, #133San Diego, CA 92131
Mailing Address9855 Erma Rd, #133San Diego, CA 92131 · (858) 621-5600 · Fax (858) 621-5603
Phone(858) 621-5600
Fax(858) 621-5603
Sole ProprietorYes
Enumeration DateOctober 14, 2006
Last NPPES UpdateJune 24, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1558451963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G44492
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9855 ERMA RD, San Diego, CA 92131
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2197099

Shawn J. Bissonnette MD · San Diego, CA
Active · expires Aug 10, 2027
CLIA Number05D2197099
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorShawn J. Bissonnette
Laboratory Phone(858) 621-5600
Laboratory LocationShawn J. Bissonnette MD9845 Erma Road Ste 316, San Diego, CA 92131
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. ANDREW HUTTENHOFF OPTOMETRY
Optometrist
9855 ERMA RD, SUITE 130
SAN DIEGO, CA 92131
San Diego County (858) 578-5220
J YANG DENTAL CORPORATION
Dentist (Periodontics)
9855 ERMA RD, SUITE 110
SAN DIEGO, CA 92131
San Diego County (858) 578-2205
MOSSBERG & ASSOCIATES PHYSCIAL THERAPY INC
Physical Therapist
9855 ERMA RD, STE 106
SAN DIEGO, CA 92131
San Diego County (858) 549-7111
DR. MICHAEL W. GABLE D.D.S,
Dentist
9855 ERMA RD, SUITE 138
SAN DIEGO, CA 92131
San Diego County (858) 549-9688
DR. MARIO J OLIVOTTO D.D.S.
Dentist (General Practice)
9855 ERMA RD, SUITE 103
SAN DIEGO, CA 92131
San Diego County (858) 578-0120
DR. RAYMUND MIRANDA DC
Chiropractor
9855 ERMA RD, SUITE 129
SAN DIEGO, CA 92131
San Diego County (858) 549-1541
COX DENTAL CORPORATION
Dentist (General Practice)
9855 ERMA RD, STE 108
SAN DIEGO, CA 92131
San Diego County (858) 578-9020
MIRANDA CHIROPRACTIC SPECIALTY GROUP INC.
Chiropractor
9855 ERMA RD, SUITE 129
SAN DIEGO, CA 92131
San Diego County (858) 549-1541

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 Shawn Bissonnette's NPI number?

The NPI number for Shawn Bissonnette is 1558451963. It was assigned to this individual provider in the NPPES registry on October 14, 2006.

Where is Shawn Bissonnette located?

Shawn Bissonnette practices at 9855 Erma Rd #133, San Diego, CA 92131. The listed phone number is (858) 621-5600.

What is Shawn Bissonnette's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Shawn Bissonnette hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2197099) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shawn Bissonnette was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.