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ANGEL MARIE SHATTO NNP-BC
NPI 1760219794
Pediatrics - Neonatal-Perinatal Medicine in Loma Linda, CA

Active since September 14, 2024PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-4000 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angel Marie Shatto Nnp-bc NPPES

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

ANGEL MARIE SHATTO NNP-BC (NPI 1760219794) is an individual neonatal-perinatal medicine provider in Loma Linda, California, licensed in California (95031966) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760219794
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameANGEL MARIE SHATTOCredential: NNP-BC
Location Address11234 ANDERSON STLoma Linda, CA 92350-1716
Mailing Address18329 Whitewater WayRiverside, CA 92508-9343
Phone(909) 558-4000
Sole ProprietorNo
Enumeration DateSeptember 14, 2024
NPPES CertifiedSeptember 14, 2024
✔ NPI 1760219794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · 95031966
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
11234 ANDERSON ST, Loma Linda, CA 92350
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angel Marie Shatto Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Angel Shatto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
Same address
Anatomic Pathology & Clinical Pathology
11234 ANDERSON ST
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1245605781 (909) 558-6122

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

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. THUCAN TIMOTHY BUI DO
Emergency Medicine
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4344
VAHE YACOUBIAN MD, MPH
Orthopaedic Surgery
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (818) 813-4234
AISHA Q EALEY APRN, ACCCNS-N
Clinical Nurse Specialist (Neonatal)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4248
MR. RANDAL KEITH GILMAN PA
Physician Assistant
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4475
AMR AZZAM MD, PHD
Ophthalmology (Retina Specialist)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-2182
DARSH THAKRAR M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
HAITHAM SIAG MBBCH
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (914) 267-6104
PRESTON ANDREW SHIRSAT
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4074

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 Angel Shatto's NPI number?

The NPI number for Angel Shatto is 1760219794. It was assigned to this individual provider in the NPPES registry on September 14, 2024.

Where is Angel Shatto located?

Angel Shatto practices at 11234 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-4000.

What is Angel Shatto's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Angel Shatto enrolled in Medicare?

Yes. Angel Shatto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angel Shatto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angel Shatto reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The 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 Angel Shatto'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 Angel Shatto was last updated on September 14, 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.