Shannon Wongvibulsin
NPI 1144685447ActiveIndividual· Dermatology· Orange, CA
Dermatology in Orange, California, licensed in CA, with an NPI issued in December 2015. Enrolled in Medicare as practitioner - dermatology. Sun Pharmaceutical Industries Inc. was the largest of 2 companies reporting payments in 2025, $204.27 in all, mostly food and beverage.
Overview
| NPI | 1144685447 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 31, 2015 |
| Last updated in NPPES | Jul 1, 2026 |
| Certified by provider | Jul 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | A181956 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (CA) |
|---|
Industry payments (Open Payments)
- 2025$204.27 · 2 payments from 2 companies
- 2024$1,736 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sun Pharmaceutical Industries Inc. | $147.78 | 1 |
| Pfizer Inc. | $56.49 | 1 |
What the 2025 payments were for
- Food and Beverage$204.27 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 dermatologists in Orange · All dermatologists in California