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

NPI Status: Active since October 14, 2006

Contact Information

9855 ERMA RD
#133
SAN DIEGO, CA
ZIP 92131
Phone: (858) 621-5600
Fax: (858) 621-5603

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  • Individual
  • Male
  • Pediatrics
  • CLIA Number: 05D2197099
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-10-2027

About SHAWN BISSONNETTE

This page provides the complete NPI Profile along with additional information for Shawn Bissonnette, a pediatrician established in San Diego, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1558451963 assigned on October 2006. The practitioner's primary taxonomy code is 208000000X with license number G44492 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1558451963
Provider Name
SHAWN JOSEPH BISSONNETTE MD
Gender
Male
Entity Type
Individual
Location Address
9855 ERMA RD #133 SAN DIEGO, CA 92131
Location Phone
(858) 621-5600
Location Fax
(858) 621-5603
Mailing Address
9855 ERMA RD #133 SAN DIEGO, CA 92131
Mailing Phone
(858) 621-5600
Mailing Fax
(858) 621-5603
Is Sole Proprietor?
Yes
Enumeration Date
10-14-2006
Last Update Date
06-24-2024
Code Navigator

A pediatrician like Shawn Bissonnette is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
G44492
License State
CA
Taxonomy Description
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.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2197099
Facility Type
Physician Office
Certificate Effective Date
August 11, 2025
Certificate Expiration Date
August 10, 2027
Laboratory Director
SHAWN J. BISSONNETTE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shawn Bissonnette to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558451963, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 8 + 5 + 2 + 9 + 1 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1558451963.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
9855 ERMA RD, SUITE 130
SAN DIEGO, CA 92131
Physical Therapist
9855 ERMA RD, STE 106
SAN DIEGO, CA 92131
Physical Therapist
9855 ERMA RD, #106
SAN DIEGO, CA 92131
Dentist (Periodontics)
9855 ERMA RD, STE 110
SAN DIEGO, CA 92131
Dentist (General Practice)
9855 ERMA RD, SUITE 137
SAN DIEGO, CA 92131
Dentist (General Practice)
9855 ERMA RD
SAN DIEGO, CA 92131
Dentist (Oral and Maxillofacial Surgery)
9855 ERMA RD, STE100
SAN DIEGO, CA 92131
Dentist (General Practice)
9855 ERMA RD, SUITE 109
SAN DIEGO, CA 92131
Chiropractor
9855 ERMA RD, SUITE 129
SAN DIEGO, CA 92131
Dentist (General Practice)
9855 ERMA RD, 109
SAN DIEGO, CA 92131
Clinic/Center (Medical Specialty)
9855 ERMA RD, SUITE 130
SAN DIEGO, CA 92131
Dentist
9855 ERMA RD, SUITE 138
SAN DIEGO, CA 92131
Chiropractor
9855 ERMA RD, SUITE 129
SAN DIEGO, CA 92131
Optometrist
9855 ERMA RD, SUITE 130
SAN DIEGO, CA 92131
Physical Therapist
9855 ERMA RD, SUITE 106
SAN DIEGO, CA 92131
Dentist (General Practice)
9855 ERMA RD, SUITE 103
SAN DIEGO, CA 92131
Chiropractor
9855 ERMA RD, STE 104
SAN DIEGO, CA 92131
Dentist (Periodontics)
9855 ERMA RD, SUITE 110
SAN DIEGO, CA 92131
Dentist (General Practice)
9855 ERMA RD, STE 108
SAN DIEGO, CA 92131
Clinic/Center (Federally Qualified Health Center (FQHC))
9855 ERMA RD, SUITE 105 & 106
SAN DIEGO, CA 92131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558451963, enumerated as an "individual" on October 14, 2006.

The provider is located at 9855 ERMA RD #133 SAN DIEGO, CA 92131 and the phone number is (858) 621-5600.

Pediatrics with taxonomy code 208000000X.