PETER JAMES SHANNON
NPI 1710624168
Licensed Vocational Nurse in San Bernardino, CA

Q: What is Peter Shannon's NPI number?

The NPI number for Peter Shannon is 1710624168. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Q: What is Peter Shannon's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Shannon was last updated on May 17, 2022. 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.

Active since May 17, 2022

349 W 11TH ST, SAN BERNARDINO, CA 92410(909) 381-3774 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Peter James Shannon NPPES

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

PETER JAMES SHANNON (NPI 1710624168) is an individual licensed vocational nurse in San Bernardino, California, licensed in California (271686) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1710624168

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NamePETER JAMES SHANNON

Location Address349 W 11TH STSan Bernardino, CA 92410-3513

Mailing Address1100 N D StSan Bernardino, CA 92410-3524

Phone(909) 381-3774

Sole ProprietorNo

Enumeration DateMay 17, 2022

NPPES CertifiedMay 17, 2022

✔ NPI 1710624168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 271686

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

349 W 11TH ST, San Bernardino, CA 92410

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Other Providers at the Same Location NPPES 10

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

ANTHONY JIMENEZ

Licensed Vocational Nurse