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

Shantele Diane Blackmon

Individual provider Case Manager/Care Coordinator · NPI 1497247225

Shantele Diane Blackmon is a Case Manager/Care Coordinator in Los Angeles, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

5849 Crocker St Unit L
Los Angeles, CA 90003-1311
Phone: (323) 234-4445
Fax: (323) 234-4477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1497247225
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2018
Last updated in NPPESJune 6, 2018

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