NPI
Shane Dale Mullikin
NPI 1669816476
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2013-04-23
- Last updated
- 2026-01-08
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Specialties
Licenses
- License CA
- Number not in the file
Location
- Practice location
- 12555 Navajo Rd
- City
- Apple Valley CA
- Postal code
- 92308-7256
- Phone
- (760) 247-8001
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Apple Valley, CA. 2,019 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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