SHAUN KELLEY
NPI 1114816428
Licensed Vocational Nurse in Corona, CA
NPI Status: Active since July 01, 2025
- Individual
- Male
- Licensed Vocational Nurse
About SHAUN KELLEY
This page provides the complete NPI Profile along with additional information for Shaun Kelley, a provider established in Corona, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1114816428 assigned on July 2025. The practitioner's primary taxonomy code is 164X00000X with license number 746502 (CA). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1114816428
- Provider Name
- SHAUN KELLEY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 222 W 6TH ST CORONA, CA 92882
- Location Phone
- (951) 349-4695
- Mailing Address
- 222 W 6TH ST CORONA, CA 92882
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-01-2025
- Last Update Date
- 07-01-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Vocational Nurse
- Taxonomy Code
- 164X00000X
- Type
- Nursing Service Providers
- License No.
- 746502
- License State
- CA
- Taxonomy Description
- A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 8 | 1 | 6 | 4 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 16 | 1 | 12 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 6 + 1 + 1 + 2 + 4 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1114816428 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710492814 | JOANNA CORONA Individual | Physician Assistant (Medical) | 222 W 6TH ST CORONA, CA 92882 (951) 278-2530 |
| 1649871492 | STEPHANIE CRISTINA ZATARAIN PHYSICIAN ASSISTANT Individual | Physician Assistant | 222 W 6TH ST CORONA, CA 92882 (951) 278-2530 |
| 1164143020 | AMATALLC Organization | Clinic/Center (Methadone) | 222 W 6TH ST CORONA, CA 92882 (909) 379-9237 |
| 1679338529 | JISEUNG YOON, MD Organization | Clinic/Center (Medical Specialty) | 222 W 6TH ST CORONA, CA 92882 (714) 485-8911 |
| 1023838554 | NATALIE OLAIZ LVN Individual | Licensed Vocational Nurse | 222 W 6TH ST CORONA, CA 92882 (886) 826-2828 |
| 1447074620 | CAROLINA ISABELL GOMEZ LVN Individual | Licensed Vocational Nurse | 222 W 6TH ST CORONA, CA 92882 (888) 682-6282 |
| 1144742420 | JISEUNG YOON MD Individual | Preventive Medicine (Addiction Medicine) | 222 W 6TH ST CORONA, CA 92882 (909) 485-7974 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114816428, enumerated in the NPI registry as an "individual" on July 01, 2025
The provider is located at 222 W 6th St Corona, Ca 92882 and the phone number is (951) 349-4695
The provider's speciality is Licensed Vocational Nurse with taxonomy code 164X00000X
This NPI record was last updated on July 01, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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