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JERRY SHEN
NPI 1609571512
Student in an Organized Health Care Education/Training Program in Sylmar, CA

Active since March 31, 2023
14445 OLIVE VIEW DRIVE, DEPT. OF MEDICINE, RM. 2B182, SYLMAR, CA 91342(747) 210-3205 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Shen NPPES

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

JERRY SHEN (NPI 1609571512) is an individual student in an organized health care education/training program in Sylmar, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1609571512
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJERRY SHEN
Location Address14445 OLIVE VIEW DRIVE, DEPT. OF MEDICINE, RM. 2B182Sylmar, CA 91342
Mailing Address1559 Carnavon WaySan Jose, CA 95131-2482 · (408) 896-7472
Phone(747) 210-3205
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1609571512 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.
14445 OLIVE VIEW DRIVE, Sylmar, CA 91342
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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. REEBU KOHLI M.D.
Internal Medicine (Nephrology)
14445 OLIVE VIEW DRIVE
SYLMAR, CA 91342
Los Angeles County (818) 364-3205
DR. THOMAS RYOU
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DRIVE
SYLMAR, CA 91342
Los Angeles County (818) 364-3233
MS. VALERIE J. PAYNE NP
Nurse Practitioner
14445 OLIVE VIEW DRIVE, ROOM 6B119-H
SYLMAR, CA 91342
Los Angeles County (818) 364-3031
MR. WILFREDO LAPUZ DEL ROSARIO NURSE PRACTITIONER
Nurse Practitioner
14445 OLIVE VIEW DRIVE
SYLMAR, CA 91342
Los Angeles County (818) 364-3107
DR. ALBERT J. KETTENIS MD
Psychiatry & Neurology (Psychiatry)
14445 OLIVE VIEW DRIVE
SYLMAR, CA 91342
Los Angeles County (818) 364-3343
ROBIN YVONNE WACHSNER MD
Internal Medicine (Cardiovascular Disease)
14445 OLIVE VIEW DRIVE, OLIVE VIEW UCLA MEDICAL CENTER 2C-121
SYLMAR, CA 91342
Los Angeles County (818) 364-4287
DR. LAM L NGUYEN MD
Pediatrics
14445 OLIVE VIEW DRIVE
SYLMAR, CA 91342
Los Angeles County (818) 364-3233
JANICE CHEW
Registered Nurse (Ambulatory Care)
14445 OLIVE VIEW DRIVE
SYLMAR, CA 91342
Los Angeles County (747) 210-3144

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 Jerry Shen's NPI number?

The NPI number for Jerry Shen is 1609571512. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Jerry Shen located?

Jerry Shen practices at 14445 Olive View Drive Dept. Of Medicine, Rm. 2b182, Sylmar, CA 91342. The listed phone number is (747) 210-3205.

What is Jerry Shen's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Shen was last updated on March 21, 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.