Individual provider

Shannon Etter, M.D.

Obstetrics & Gynecology Physician Medicare enrolled

Shannon Etter, M.D. is an Obstetrics & Gynecology Physician in San Diego, CA, registered under NPI 1184829921.

Getting there

The practice address on file is 9455 CLAIREMONT MESA BLVD, San Diego, CA 92123. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9455 CLAIREMONT MESA BLVD, San Diego, CA 92123 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
C181763 CA Obstetrics & Gynecology Physician primary
0101244203 VA Obstetrics & Gynecology Physician

Licences are recorded in 2 states: CA, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Obstetrics/gynecology
PAC ID
4183086275

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and Virginia. The practice address on file is in San Diego, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
C181763
Specialty
Obstetrics & Gynecology Physician
Verify with the CA board →
VA Virginia
Licence
0101244203
Specialty
Obstetrics & Gynecology Physician
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Obstetrics & Gynecology covers

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207V00000X Obstetrics & Gynecology Physician C181763 CA primary
207V00000X Obstetrics & Gynecology Physician 0101244203 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1184829921 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 20, 2007
Last updatedJun 28, 2023
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 9455 CLAIREMONT MESA BLVD
San Diego, CA 92123
(858) 266-5000
Mailing address 1 BOONE RD NAVAL HOSPITAL BREMERTON
Bremerton, WA 98312
The last update on file is Jun 28, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1184829921 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 8 4 8 2 9 9 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 7 4 7 2 9 9 4

Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1184829921?
NPI 1184829921 is the National Provider Identifier assigned to Shannon Etter, M.D. in San Diego, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Obstetrics & Gynecology Physician cover?
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
How do I contact Shannon Etter, M.D.?
The phone number on file with NPPES is (858) 266-5000, last updated Jun 28, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shannon Etter, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1184829921 a valid number?
Yes. 1184829921 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.