SHAWN T. VAN ENOO, D.P.M. A PROFESSIONAL MEDICAL CORPORATION
NPI 1740512235
Podiatrist in Cerritos, CA
About Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN T. VAN ENOO, D.P.M. A PROFESSIONAL MEDICAL CORPORATION (NPI 1740512235) is a healthcare organization registered as a podiatrist in Cerritos, California and active in the NPI registry since February 2010. The organization lists Shawn T Van Enoo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation's NPI number?
The NPI number for Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation is 1740512235. It was assigned to this organization in the NPPES registry on February 8, 2010.
Where is Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation located?
Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation is located at 11911 Artesia Blvd #103, Cerritos, CA 90703. The listed phone number is (562) 402-2489.
What is Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation enrolled in Medicare?
Yes. Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shawn T. Van Enoo, D.P.M. A Professional Medical Corporation was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Shawn T. Van Enoo, D.p.m. A Professional Medical Corporation · NPI 1740512235
Podiatrist organization in Cerritos, California. Organization record, active in the CMS NPPES registry since February 8, 2010.
## Identity
- **NPI:** 1740512235 (Entity type: Organization)
- **Enumerated:** February 8, 2010
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Shawn Van Enoo, PRESIDENT
## Practice location
- **Address:** 11911 ARTESIA BLVD, #103, Cerritos, CA 90703-4070
- **Phone:** (562) 402-2489 · **Fax:** (562) 809-7219
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740512235) · Data from the CMS NPPES public registry.