LA SHAUNTA T HARRIS RN
NPI 1730990573
Nurse Practitioner - Family in Long Beach, CA

Active since January 20, 2025PECOS Enrolled
1601 E 63RD ST # A, LONG BEACH, CA 90805(323) 945-4373 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About La Shaunta T Harris Rn NPPES

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

LA SHAUNTA T HARRIS RN (NPI 1730990573) is an individual family provider in Long Beach, California, licensed in California (95032173) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730990573
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLA SHAUNTA T HARRISCredential: RN
Location Address1601 E 63RD ST # ALong Beach, CA 90805-3115
Mailing Address1601 E 63rd St # ALong Beach, CA 90805-3115 · (323) 945-4373
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1730990573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95032173
1601 E 63RD ST # A, Long Beach, CA 90805

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Shaunta T Harris Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739606153
PECOS Enrollment IDI20250509000005
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.

Medicare Billing Reassignments

2

Medicare enrollment records show La Shaunta Harris reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
4281 KATELLA AVE STE 111
Los Alamitos, CA 90720
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
General Practice
505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 407 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 La Shaunta Harris's NPI number?

The NPI number for La Shaunta Harris is 1730990573. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is La Shaunta Harris located?

La Shaunta Harris practices at 1601 E 63rd St # A, Long Beach, CA 90805. The listed phone number is (323) 945-4373.

What is La Shaunta Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is La Shaunta Harris enrolled in Medicare?

Yes. La Shaunta Harris is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for La Shaunta Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), La Shaunta Harris reassigns Medicare benefits to 2 organizations: Victor Kabbany MD Inc (Los Alamitos, CA) and Signify Health Medical Associates Of California, PC (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for La Shaunta Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for La Shaunta Harris was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.