Search › California › 101YM0800X
Shawn Peterson
NPI 1942508163 · on the registry since 2011
Practice
- Address
- 941 El Dorado Ave
Santa Cruz, CA 95062 - Phone
- (831) 251-5699
- Organisation at this address
- Encompass Community Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-20
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