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

Shaunte E Anderson, FNP

Individual provider Family Nurse Practitioner · NPI 1639717218

Shaunte E Anderson, FNP is a Nurse Practitioner in Gardena, California. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1025 W 190th St Ste 450
Gardena, CA 90248-4339
Phone: (310) 782-1177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95012291 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 95012991 (CA)

Record details

NPI number1639717218
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedDecember 14, 2019
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address13089 Peyton Dr, Chino Hills, CA 91709-6018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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