| Shannon San San Wai, | |
| 3020 Childrens Way, San Diego, CA 92123-4223 | |
| (858) 966-8800 | |
| Not Available | 
| Full Name | Shannon San San Wai | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Emergency Medicine | 
| Location | 3020 Childrens Way, San Diego, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528395282 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | A122459 (California) | Secondary | 
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | A122459 (California) | Primary | 
| Entity Name | Multicare Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shannon San San Wai, 3020 Childrens Way, Mc5075, San Diego, CA 92123-4223 Ph: (858) 966-8800 | Shannon San San Wai, 3020 Childrens Way, San Diego, CA 92123-4223 Ph: (858) 966-8800 | 
| Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818 | |
| Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818 | |
| Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416 | |
| Dr. Paula Grayson,  Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969 | |
| Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785 | |
| Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847 | |
| Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082 |