MEDICARE: SHAMIKA MASON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	MI000041359	MI

General Provider Information

NPI Number	:	1629945654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMIKA MASON

Provider Business Mailing Address
First Line	:	1412 JENNINGS AVE
Second Line	:
City	:	BENTON HARBOR
State	:	MI
Zip	:	49022-5806
Country	:	US
Telephone Number	:	269-759-4608
Fax Number	:

Provider Business Practice Location Address
First Line	:	1412 JENNINGS AVE
Second Line	:
City	:	BENTON HARBOR
State	:	MI
Zip	:	49022-5806
Country	:	US
Telephone Number	:	269-759-4608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

Similar Medicare Providers

1821923475 — NINA'S COMPASSIONATE CARE
Practice Location Address:

1412 JENNINGS AVE
BENTON HARBOR, MI
49022-5806

Practice Phone: 269-759-4608
Practice Fax:

1104955475 — LUCERO DENTAL CLINIC
Practice Location Address:

12833 HARBOR BLVD , SUITE F 3
GARDEN GROVE, CA
92840-5806

Practice Phone: 714-534-9480
Practice Fax: 714-534-9482

1861655417 — MRS. MARTHA R. LUCERO D.D.S.
Practice Location Address:

12833 HARBOR BLVD , SUITE F-3
GARDEN GROVE, CA
92840-5806

Practice Phone: 714-534-9480
Practice Fax:

1164685723 — MRS. BLANCA E. ZAMORA D.D.S.
Practice Location Address:

12833 HARBOR BLVD , SUITE F-3
GARDEN GROVE, CA
92840-5806

Practice Phone: 714-534-9840
Practice Fax: 714-534-9482

1578955100 — DR. ROSARIO TREVINO D.D.S.
Practice Location Address:

12833 HARBOR BLVD # F-3
GARDEN GROVE, CA
92840-5806

Practice Phone: 714-534-9480
Practice Fax:

1760155220 — SHIRLEY TATIANA LOPEZ VARGAS DDS
Practice Location Address:

12833 HARBOR BLVD # F-3
GARDEN GROVE, CA
92840-5806

Practice Phone: 714-534-9480
Practice Fax:

Directions to “ SHAMIKA MASON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.