Kevin Shannon, M.D.
NPI 1356470314 · Family Medicine Physician · San Bernardino, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Shannon, M.D. is a Family Medicine Physician provider in San Bernardino, CA (NPI 1356470314).
Provider details
- NPI number
- 1356470314
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G89186 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Frequently asked questions
- What is Kevin Shannon's NPI number?
- Kevin Shannon's National Provider Identifier (NPI) is 1356470314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Shannon's specialty?
- Kevin Shannon is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Shannon located?
- Kevin Shannon's practice location on file with NPPES is 1454 E 2nd St, San Bernardino, CA 92408-0118.
- What is Kevin Shannon's phone number?
- The practice phone number listed in the NPPES registry for Kevin Shannon is (909) 382-7146.
- Does Kevin Shannon accept Medicare?
- Kevin Shannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Shannon's NPI active?
- Yes — Kevin Shannon's NPI (1356470314) is active in the NPPES registry as of the last update on 2026-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.