Anton Fedorovich Shanin, FNP is a
Family Medicine - Addiction Medicine based in North Hollywood, California. Anton Fedorovich Shanin is licensed to practice in California (license number 95031622) and his current practice location is
4838 Laurel Canyon Blvd, North Hollywood, California. He can be reached at his office (for appointments etc.) via phone at
(818) 506-4455.
NPI number for Anton Fedorovich Shanin is 1467283051 and his current mailing address is 12302 Downey Ave, Downey, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467283051.
Provider's Profile
Full Name | Anton Fedorovich Shanin |
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Gender | Male |
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Speciality | Family Medicine - Addiction Medicine |
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Location | 4838 Laurel Canyon Blvd, North Hollywood, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467283051
- Provider Enumeration Date: 08/13/2024
- Last Update Date: 11/12/2024
Medical Identifiers
Medical identifiers for Anton Fedorovich Shanin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467283051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 95031622 (California) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | 95031622 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anton Fedorovich Shanin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anton Fedorovich Shanin, FNP 12302 Downey Ave, Downey, CA 90242-3514 Ph: (310) 924-0286 | Anton Fedorovich Shanin, FNP 4838 Laurel Canyon Blvd, North Hollywood, CA 91607-3717 Ph: (818) 506-4455 |
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