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

Tara Lynn Shafer, FNP

Individual provider Family Nurse Practitioner · NPI 1053922641

Tara Lynn Shafer, FNP is a Nurse Practitioner in San Pedro, California. Qualified in 2020, 6 years ago. Practices with Array Skin Therapy a Medical Corporation, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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

1350 W 6th St Ste 200
San Pedro, CA 90732-3508
Phone: (310) 832-0686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95015152 (CA)

Record details

NPI number1053922641
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 16, 2020
Last updated in NPPESAugust 16, 2020
Certification dateAugust 16, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Array Skin Therapy A Medical Corporation — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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