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

Shawn Christie Destasio, NP

Individual provider Family Nurse Practitioner · NPI 1942378690

Shawn Christie Destasio, NP is a Nurse Practitioner in Torrance, California. Qualified in 2002, 24 years ago. Practices with Avenir Ventures LLC, a 31-clinician group and accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
24
Licensed in
CA, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3701 Skypark Dr Ste 200
Torrance, CA 90505-4753
Phone: (310) 378-8900
Fax: (310) 791-0789
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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 559889 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5006629 (NC)

Record details

NPI number1942378690
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESAugust 24, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Avenir Ventures Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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