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

Shanda Lewis

Individual provider Nurse Practitioner · NPI 1285385740

Shanda Lewis is a Nurse Practitioner in Gardena, California. Qualified in 2021, 5 years ago. Practices with Altea Medical California PC, a 81-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

2020 W 154th St
Gardena, CA 90249-4223
Phone: (310) 433-7215
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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 95019042 (CA)

Record details

NPI number1285385740
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2022
Last updated in NPPESJanuary 15, 2022
Certification dateJanuary 15, 2022
Mailing address2020 W 154th St, Gardena, CA 90249-4223

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Altea Medical California Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gardena