1. Home
  2. Directory
  3. California
  4. Orange
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SHANNON LEIGH IPPOLITI M.D.
NPI 1841679982
Student in an Organized Health Care Education/Training Program in Orange, CA

Active since May 21, 2015PECOS Enrolled
505 S MAIN ST, SUITE 525, ORANGE, CA 92868(714) 456-5631(714) 285-0389 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Leigh Ippoliti M.d. NPPES

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

SHANNON LEIGH IPPOLITI M.D. (NPI 1841679982) is an individual student in an organized health care education/training program in Orange, California and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841679982
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON LEIGH IPPOLITICredential: M.D.
Location Address505 S MAIN ST, SUITE 525Orange, CA 92868-4509
Mailing Address505 S Main St, Suite 525Orange, CA 92868-4509 · (714) 456-5631 · Fax (714) 285-0389
Phone(714) 456-5631
Fax(714) 285-0389
Sole ProprietorNo
Enumeration DateMay 21, 2015
✔ NPI 1841679982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
505 S MAIN ST, Orange, CA 92868
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Leigh Ippoliti M.d. 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.

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. RYAN MICHAEL SMITH M.D.
Pediatrics
505 S MAIN ST
ORANGE, CA 92868
Orange County (714) 456-5631
MICHAEL ROSS RN
Case Manager/Care Coordinator
505 S MAIN ST
ORANGE, CA 92868
Orange County (907) 299-1410
KIMBERLY PETERSON NP
Nurse Practitioner (Pediatrics)
505 S MAIN ST
ORANGE, CA 92868
Orange County (714) 509-3939
DR. SUSAN WONG M.D.
Student in an Organized Health Care Education/Training Program
505 S MAIN ST, SUITE 525
ORANGE, CA 92868
Orange County (714) 456-5631
GALANT AND LIN MD'S INC.
Allergy & Immunology
505 S MAIN ST, STE 250
ORANGE, CA 92868
Orange County (714) 771-7994
DR. JORDAN FISHER M.D.
Pediatrics
505 S MAIN ST, SUITE 1200
ORANGE, CA 92868
Orange County (714) 509-8826
AHMED ABDELHALIM ABDELAZIZ ALI M.D.
Urology (Pediatric Urology)
505 S MAIN ST, SUITE 100
ORANGE, CA 92868
Orange County (714) 509-3914
MAYURIKA BANERJEE BARTENSTEIN
Student in an Organized Health Care Education/Training Program
505 S MAIN ST, SUITE 525
ORANGE, CA 92868
Orange County (714) 456-5631

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 Shannon Ippoliti's NPI number?

The NPI number for Shannon Ippoliti is 1841679982. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Shannon Ippoliti located?

Shannon Ippoliti practices at 505 S Main St Suite 525, Orange, CA 92868. The listed phone number is (714) 456-5631.

What is Shannon Ippoliti's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Ippoliti enrolled in Medicare?

Yes. Shannon Ippoliti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Ippoliti was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.