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NPI · 1104353796 · NPPES-sourced

Dr. Shannon Mentock MD

ActiveFamily Medicine
NPI Number
1104353796
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(707) 559-7500
License CA · 174978
Last Updated
About 4 years ago (Mar 2022)
Enumerated 2017-05-15
Primary practice addressCA · 94954-6559
1179 N Mcdowell BlvdPetaluma, CA 94954-6559
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About this NPIWhat this record shows.

NPI 1104353796 is registered to Dr. Shannon Mentock MD, a Family Medicine practising at 1179 N Mcdowell Blvd in Petaluma, California. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Dr. Shannon Mentock MD has been enumerated in the National Provider Identifier (NPI) registry since 2017.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2017-05-15
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Shannon Mentock MD accepts. To confirm in-network status with your specific health plan, contact Dr. Shannon Mentock MD directly at (707) 559-7500.

Frequently asked

Yes. NPI 1104353796 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 559-7500.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Shannon Mentock MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated2022-03
Enumerated2017-05-15
StatusActive
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3 records · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in California.

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