SHAWN JOSEPH BISSONNETTE MD
NPI 1558451963
Pediatrics in San Diego, CA
- 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 Verify this NPI
- 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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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92131
SAN DIEGO, CA 92131
SAN DIEGO, CA 92131
SAN DIEGO, CA 92131
SAN DIEGO, CA 92131
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.
