Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Charles Shannon, MD

Individual provider Family Medicine Physician · NPI 1356470314

Dr. Kevin Charles Shannon, MD is a Family Practice in San Bernardino, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1985, 41 years ago. Practices with Sac Health System, a 220-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1454 E 2nd St
San Bernardino, CA 92408-0118
Phone: (909) 382-7146
Fax: (909) 382-7101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G89186 (CA)

Record details

NPI number1356470314
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1985 (41 years in practice)
Group practice Sac Health System — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Bernardino