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DIANNE SHAW
NPI 1730743253
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since April 30, 2019
505 S PACIFIC AVE, SAN PEDRO, CA 90731(310) 519-8723 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2024, Apr 30, 2019 (2 updates tracked since 2019).

About Dianne Shaw NPPES

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

DIANNE SHAW (NPI 1730743253) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (1911768) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1730743253
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDIANNE SHAW
Location Address505 S PACIFIC AVESan Pedro, CA 90731-2656
Mailing Address10425 Painter AveSanta Fe Springs, CA 90670-3429
Phone(310) 519-8723
Sole ProprietorNo
Enumeration DateApril 30, 2019
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1730743253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 1911768
505 S PACIFIC AVE, San Pedro, CA 90731
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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.

MULTICARE MEDICAL CENTER CORP
Internal Medicine
505 S PACIFIC AVE, SUITE #201
SAN PEDRO, CA 90731
Los Angeles County (424) 570-6960
GINA HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723
JOHN ZIVKOVIC
Peer Specialist
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (562) 319-8723
LENA INEZ PAULOS
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 510-8723
KELLY SWEARINGEN
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 510-8723
JEFFERY YOUNGBLOOD
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723
MRS. MARGARET LENTZ REAVEY
Counselor
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
LISA TOVES
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723

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 Dianne Shaw's NPI number?

The NPI number for Dianne Shaw is 1730743253. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Dianne Shaw located?

Dianne Shaw practices at 505 S Pacific Ave, San Pedro, CA 90731. The listed phone number is (310) 519-8723.

What is Dianne Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dianne Shaw was last updated on July 3, 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.