12882 Shackelford Lane Inc

NPI: 1497903868

12882 Shackelford Lane Inc

Q: What is 12882 Shackelford Lane Inc's NPI number?

12882 Shackelford Lane Inc's NPI number is 1497903868, a unique 10-digit identifier issued by CMS.

Q: What does 12882 Shackelford Lane Inc specialize in?

12882 Shackelford Lane Inc specializes in Specialty not listed, taxonomy code 314000000X.

Q: Where does 12882 Shackelford Lane Inc practice?

12882 Shackelford Lane Inc practices in Garden Grove, CA 92841-5109.

Q: When was 12882 Shackelford Lane Inc's NPI issued?

12882 Shackelford Lane Inc's NPI was issued on August 28, 2008.

Q: What is 12882 Shackelford Lane Inc's provider type?

12882 Shackelford Lane Inc is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: August 28, 2008

Quick Facts

NPI Number

1497903868

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy314000000X — Specialty not listed

Phone

(714) 638-9470

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1497903868)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 28, 2008)

Data source: CMS NPPES

Provider Overview

12882 SHACKELFORD LANE INC is a Healthcare provider based in Garden Grove, CA who has been registered with CMS since 2008. They are affiliated with Garden Grove Conv Hospital. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1497903868

Provider TypeOrganization

StatusActive

Enumeration DateAugust 28, 2008

Practice Location

CityGarden Grove

StateCA

ZIP Code92841-5109

Phone(714) 638-9470

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code314000000X

License StateCA

Mailing Address

CityGarden Grove

StateCA

ZIP Code92841-5109

Phone(714) 638-9470

Same as practice location

Hospital & Organization Affiliations

🏢

Garden Grove Conv Hospital

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How to Use This NPI

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For Insurance Billing

Use NPI 1497903868 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1497903868for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1497903868 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →

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