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MR. MARK JAY SHANNON P.A.
NPI 1225367519
Physician Assistant - Medical in Sacramento, CA

Active since December 15, 2009
1201 ALHAMBRA BLVD, SUITE 400, SACRAMENTO, CA 95816(916) 733-5090(916) 733-5062 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Jay Shannon P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK JAY SHANNON P.A. (NPI 1225367519) is an individual medical provider in Sacramento, California, licensed in California (PA12702) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1225367519
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MARK JAY SHANNONCredential: P.A.
Location Address1201 ALHAMBRA BLVD, SUITE 400Sacramento, CA 95816-5238
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(916) 733-5090
Fax(916) 733-5062
Sole ProprietorNo
Enumeration DateDecember 15, 2009
Last NPPES UpdateMarch 7, 2023
✔ NPI 1225367519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA12702
1201 ALHAMBRA BLVD, Sacramento, CA 95816
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELANY J. CORYEA P.T.A.
Physical Therapy Assistant
1201 ALHAMBRA BLVD, SUITE 200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
SUTTER VALLEY MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
1201 ALHAMBRA BLVD, #200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
JAHNA C CARRERAS PTA
Physical Therapy Assistant
1201 ALHAMBRA BLVD, #200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
LUCIA P RAEL PTA
Physical Therapy Assistant
1201 ALHAMBRA BLVD, SUITE 200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
ANNALYSE FELDMAN DO
Family Medicine
1201 ALHAMBRA BLVD, SUITE 230
SACRAMENTO, CA 95816
Sacramento County (916) 731-7848
UYEN HUYNH FREITAS NP
Nurse Practitioner (Family)
1201 ALHAMBRA BLVD
SACRAMENTO, CA 95816
Sacramento County (916) 731-7925
MS. ALICIA GORDON
Physician Assistant
1201 ALHAMBRA BLVD, #230
SACRAMENTO, CA 95816
Sacramento County (916) 731-7728
NICOLE CALVILLO M.D.
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD, SUITE 340
SACRAMENTO, CA 95816
Sacramento County (916) 451-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Shannon's NPI number?

The NPI number for Mark Shannon is 1225367519. It was assigned to this individual provider in the NPPES registry on December 15, 2009.

Where is Mark Shannon located?

Mark Shannon practices at 1201 Alhambra Blvd Suite 400, Sacramento, CA 95816. The listed phone number is (916) 733-5090.

What is Mark Shannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mark Shannon was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.