O. HOWARD SHATTUCK JR. P.A.
NPI 1568569598
Physician Assistant - Surgical in Loma Linda, CA
About O. Howard Shattuck Jr. P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
O. HOWARD SHATTUCK JR. P.A. (NPI 1568569598) is an individual surgical provider in Loma Linda, California, licensed in California (PA10544) and active in the NPI registry since September 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 O. Shattuck's NPI number?
The NPI number for O. Shattuck is 1568569598. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is O. Shattuck located?
O. Shattuck practices at 11370 Anderson St Ste 2100, Loma Linda, CA 92354. The listed phone number is (909) 558-2822.
What is O. Shattuck's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
When was this NPI record last updated?
The NPPES record for O. Shattuck was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# O. Howard Shattuck Jr., P.A. · NPI 1568569598
Surgical physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1568569598 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA10544 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11370 ANDERSON ST, STE 2100, Loma Linda, CA 92354-3450
- **Phone:** (909) 558-2822
## Record status
- **NPPES last updated:** September 24, 2007
- **Other identifiers:** Medicare PIN 0PA105440 (CA); Medicare UPIN R22413
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Source: [NPI Profile](https://npiprofile.com/npi/1568569598) · Data from the CMS NPPES public registry.