IndividualActive
Peter Shannon
NPI 1710624168 · Licensed Vocational Nurse · San Bernardino, CA
Peter Shannon is a Licensed Vocational Nurse provider in San Bernardino, CA (NPI 1710624168).
Provider details
- NPI number
- 1710624168
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 271686 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
349 W 11th St
San Bernardino, CA 92410-3513
Phone: (909) 381-3774
Street-level locationGet directions
Mailing address
1100 N D St
San Bernardino, CA 92410-3524
Registry dates
- Enumerated
- 2022-05-17
- Last updated
- 2022-05-17
- Certified
- 2022-05-17
Frequently asked questions
- What is Peter Shannon's NPI number?
- Peter Shannon's National Provider Identifier (NPI) is 1710624168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Shannon's specialty?
- Peter Shannon is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Peter Shannon located?
- Peter Shannon's practice location on file with NPPES is 349 W 11th St, San Bernardino, CA 92410-3513.
- What is Peter Shannon's phone number?
- The practice phone number listed in the NPPES registry for Peter Shannon is (909) 381-3774.
- Is Peter Shannon's NPI active?
- Yes — Peter Shannon's NPI (1710624168) is active in the NPPES registry as of the last update on 2022-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.