SHAWN RENEE VAN BOCKEL MD NPI 1316031107

NPI Information

  • NPI: 1316031107
  • Provider Name: SHAWN RENEE VAN BOCKEL, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 751 S BASCOM AVE
    DIAGNOSTIC IMAGING
    SAN JOSE, CA
    ZIP 95128
  • Phone: (408) 885-6370

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NPI Details

Shawn Renee Van Bockel, MD is a diagnostic radiology radiology in San Jose, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Shawn Renee Van Bockel, MD NPI is 1316031107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

751 S BASCOM AVE
DIAGNOSTIC IMAGING
SAN JOSE, CA
ZIP 95128-604
Phone: (408) 885-6370

The enumeration date for this NPI number is 10/3/2006 and was last updated on 9/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyG50905CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G509051MEDICARE PINCALIFORNIA
2C04288MEDICARE UPINCALIFORNIA
300G509050MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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