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

Individual provider Gerontology Nurse Practitioner · NPI 1780210039

Shoshana Panitz, AGPCNP is a Nurse Practitioner in Irvine, California. Qualified in 2019, 7 years ago. Practices with Kinetic Cardiology Services, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

17875 Von Karman Ave Ste 150
Irvine, CA 92614-6212
Phone: (617) 334-5441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95012859 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95012859 (CA)

Record details

NPI number1780210039
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedMarch 19, 2020
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address12512 Chandler Blvd Apt 118, Valley Village, CA 91607-1971

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kinetic Cardiology Services — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Irvine