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

Kevin Micheal Shannon, MD

Individual provider Pediatric Cardiology Physician · NPI 1629005368

Kevin Micheal Shannon, MD is a Pediatric Medicine in Los Angeles, California. Graduated from Columbia University College of Physicians and Surgeons in 1987, 39 years ago. Practices with Uc Regents, a 101-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
CA
In the registry since
2006
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

10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone: (310) 825-5296
Fax: (310) 825-9524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence G64023 (CA)

Record details

NPI number1629005368
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESAugust 27, 2013

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1987 (39 years in practice)
Group practice Uc Regents — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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