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SHANNON FAMENINI
NPI 1578959573
Student in an Organized Health Care Education/Training Program in Orange, CA

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
333 CITY BLVD W STE 400, ORANGE, CA 92868(310) 270-8473 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Shannon Famenini NPPES

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

SHANNON FAMENINI (NPI 1578959573) is an individual student in an organized health care education/training program in Orange, California and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1578959573
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON FAMENINI
Location Address333 CITY BLVD W STE 400Orange, CA 92868-2994
Mailing Address10503 Woodfield CtLos Angeles, CA 90077-2033
Phone(310) 270-8473
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 7, 2015
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1578959573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
333 CITY BLVD W STE 400, Orange, CA 92868
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Famenini is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517244593
PECOS Enrollment IDI20190306000665
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

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

JENNIFER KIM
Student in an Organized Health Care Education/Training Program
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-6693
CY KIM M.D.
Internal Medicine (Cardiovascular Disease)
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-6699
PIOTR SZCZEPAN SOWA M.D.
Internal Medicine (Gastroenterology)
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-6745
DR. ELSA CASSANDRA CAMARILLO D.O.
Internal Medicine (Pulmonary Disease)
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-6870
DR. RAJSREE D NAMBUDRIPAD MD
Internal Medicine
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-6745
DR. CHAKRADHAR REDDY MURARI MD
Student in an Organized Health Care Education/Training Program
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 450-3875
TALAL AL-ASSIL
Internal Medicine
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-7890
CARMEN SAY
Student in an Organized Health Care Education/Training Program
333 CITY BLVD W STE 400
ORANGE, CA 92868
Orange County (714) 456-7772

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 Famenini's NPI number?

The NPI number for Shannon Famenini is 1578959573. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Shannon Famenini located?

Shannon Famenini practices at 333 City Blvd W Ste 400, Orange, CA 92868. The listed phone number is (310) 270-8473.

What is Shannon Famenini's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Famenini enrolled in Medicare?

Yes. Shannon Famenini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Famenini was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.