Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE WALLIN
Active Sole ProprietorSHANE WALLIN is a Anesthesiologist Assistant healthcare provider located in SAN DIEGO, California. NPI 1104282177 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · SAN DIEGO, CA
Registration Details
- NPI Number
- 1104282177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2016 (10.626072432963 yrs)
- Last Updated
- Jul 3, 2025
- License
-
310143 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1968 GARNET AVESAN DIEGO, CA, 921093555Browse CA providers · Browse ZIP 92109
- Phone
- 6122141325
- Primary Specialty
-
Anesthesiologist Assistant
246ZA2600X
Other Anesthesiologist Assistant Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| NATALIE JAVAE TURNER | MEDICAL ASSISTANT | 1093987661 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.