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

Individual provider Certified Registered Nurse Anesthetist · NPI 1962236893

Shane Martien, BSN, DNP, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Van Nuys, California. Qualified in 2024, 2 years ago. Practices with Pacific Valley Medical Group, a 104-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

15107 Vanowen St
Van Nuys, CA 91405-4597
Phone: (818) 782-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95002468 (CA)

Record details

NPI number1962236893
Entity typeIndividual (Type 1)
GenderMale
Credentials BSN , DNP , CRNA
Sole proprietorYes
NPI enumeratedSeptember 2, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pacific Valley Medical Group — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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