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

Mr. Shane Lenre Calaguas Avila, NP

Individual provider Adult Health Nurse Practitioner · NPI 1740607167

Mr. Shane Lenre Calaguas Avila, NP is a Nurse Practitioner in Long Beach, California. Qualified in 2013, 13 years ago. Practices with The Los Angeles Free Clinic, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4910 Airport Plaza Dr Ste 100
Long Beach, CA 90815-1377
Phone: (562) 429-2473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95000320 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95000320 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95000320 (CA)

Record details

NPI number1740607167
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 24, 2014
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice The Los Angeles Free Clinic — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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