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

Shontal Behan Dionisopoulos, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720583321

Shontal Behan Dionisopoulos, DPM is a Podiatry in Oakland, California. Qualified in 2018, 8 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

275 W Macarthur Blvd
Oakland, CA 94611-5641
Phone: (510) 752-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5718 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720583321
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESDecember 20, 2021
Certification dateApril 5, 2021

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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