Search › California › 164W00000X
Shawntale Rideau, LVN
NPI 1154297356 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1850 Fairway Dr
San Leandro, CA 94577 - Phone
- (510) 219-4876
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California