Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY D SHANNON, PA
ActiveGREGORY D SHANNON, PA is a Physician Assistant healthcare provider located in RANCHO MIRAGE, California. NPI 1225049984 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RANCHO MIRAGE, CA
Registration Details
- NPI Number
- 1225049984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (20.009625341583 yrs)
- Last Updated
- Mar 7, 2023
- License
-
PA13960 (CA)
Practice Information
- Address
-
72780 COUNTRY CLUB DRBLDG B 203RANCHO MIRAGE, CA, 922704126Browse CA providers · Browse ZIP 92270
- Phone
- 7606743847
- Fax
- 7606743845
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in RANCHO MIRAGE, CA
| Name | Credential | NPI |
|---|---|---|
| KEVIN A VIDA | PA C | 1023000122 |
| SOPHIA KHALILI | PA-C | 1518949759 |
| LAURA S ANDROY | PAC | 1225002710 |
| DEBORAH L. HENDERSON | PA-C | 1558315515 |
| CHRISTOPHER J ESPINOSA | P.A. | 1457386898 |
| FRANCISCO E BRINGAS-JORGAN | PA-C | 1760406979 |
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.