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

Peter James Shannon

Individual provider Licensed Vocational Nurse · NPI 1710624168

Peter James Shannon is a Licensed Vocational Nurse in San Bernardino, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

349 W 11th St
San Bernardino, CA 92410-3513
Phone: (909) 381-3774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 271686 (CA)

Record details

NPI number1710624168
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

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