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MR. SHAD FOSSEN
NPI 1992823264
Rehabilitation Practitioner in Long Beach, CA

Active since March 26, 2007
456 ELM AVE, LONG BEACH, CA 90802(562) 437-6717(562) 590-6012 Get Directions Write a Review

NPPES record last updated: May 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shad Fossen NPPES

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

MR. SHAD FOSSEN (NPI 1992823264) is an individual rehabilitation practitioner in Long Beach, California and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1992823264
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMR. SHAD FOSSEN
Location Address456 ELM AVELong Beach, CA 90802-2426
Mailing Address508 Agua PlSeal Beach, CA 90740-6216
Phone(562) 437-6717
Fax(562) 590-6012
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateMay 24, 2013
✔ NPI 1992823264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
456 ELM AVE, Long Beach, CA 90802
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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.

CHRISTINE BONDAD
Student in an Organized Health Care Education/Training Program
456 ELM AVE
LONG BEACH, CA 90802
Los Angeles County (562) 437-6717
SARIT FASSAZADEH
Social Worker (Clinical)
456 ELM AVE
LONG BEACH, CA 90802
Los Angeles County (562) 437-6717
BRIE ORTEGA
Student in an Organized Health Care Education/Training Program
456 ELM AVE
LONG BEACH, CA 90802
Los Angeles County (562) 437-6717
CHRISTINA STEPHENITCH
Rehabilitation Practitioner
456 ELM AVE
LONG BEACH, CA 90802
Los Angeles County (562) 437-6717
CHRISTINE DOSLAND
Student in an Organized Health Care Education/Training Program
456 ELM AVE
LONG BEACH, CA 90802
Los Angeles County (562) 437-6717
MS. BRANDY BARBEE LVN
Licensed Vocational Nurse
456 ELM AVE
LONG BEACH, CA 90802
Los Angeles County (562) 506-8530
SABRINA NICOLE CAINOY MOJICA
Student in an Organized Health Care Education/Training Program
456 ELM AVE
LONG BEACH, CA 90802
Los Angeles County (562) 437-6717
LOUIS DAWSON
Rehabilitation Practitioner
456 ELM AVE
LONG BEACH, CA 90802
Los Angeles County (562) 437-6717

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 Shad Fossen's NPI number?

The NPI number for Shad Fossen is 1992823264. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Shad Fossen located?

Shad Fossen practices at 456 Elm Ave, Long Beach, CA 90802. The listed phone number is (562) 437-6717.

What is Shad Fossen's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Shad Fossen was last updated on May 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.