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Shawn Countryman
NPI 1184567596 · Community Health Worker · Long Beach, CA
Shawn Countryman is a Community Health Worker provider in Long Beach, CA (NPI 1184567596).
Provider details
- NPI number
- 1184567596
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 W Ocean Blvd Ste 400
Long Beach, CA 90802-4633
Phone: (844) 982-6374
Street-level locationGet directions
Mailing address
5758 Goss Rd
Phelan, CA 92371-7581
Additional practice locations (1)
- 17130 Sequoia St Ste 106Hesperia, CA 92345-1827Phone: (626) 649-4701
Registry dates
- Enumerated
- 2026-04-10
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Frequently asked questions
- What is Shawn Countryman's NPI number?
- Shawn Countryman's National Provider Identifier (NPI) is 1184567596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Countryman's specialty?
- Shawn Countryman is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Shawn Countryman located?
- Shawn Countryman's practice location on file with NPPES is 111 W Ocean Blvd Ste 400, Long Beach, CA 90802-4633.
- What is Shawn Countryman's phone number?
- The practice phone number listed in the NPPES registry for Shawn Countryman is (844) 982-6374.
- Is Shawn Countryman's NPI active?
- Yes — Shawn Countryman's NPI (1184567596) is active in the NPPES registry as of the last update on 2026-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.