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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON LY PA-C
NPI 1235848268
Physician Assistant in Burbank, CA

Active since November 17, 2022
3413 W PACIFIC AVE STE 102, BURBANK, CA 91505(818) 953-4408 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 25, 2026, Feb 5, 2023, Nov 17, 2022 (3 updates tracked since 2022).

About Shannon Ly Pa-c NPPES

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

SHANNON LY PA-C (NPI 1235848268) is an individual physician assistant in Burbank, California, licensed in California (PA61877) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1235848268
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON LYCredential: PA-C
Location Address3413 W PACIFIC AVE STE 102Burbank, CA 91505-1598
Mailing AddressPo Box 505Temple City, CA 91780-0505
Phone(818) 953-4408
Sole ProprietorNo
Enumeration DateNovember 17, 2022
Last NPPES UpdateSeptember 25, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1235848268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA61877
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3413 W PACIFIC AVE STE 102, Burbank, CA 91505
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Other Providers at the Same Location NPPES 2

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

MS. CHRISTINA ANNA DAVIDIAN
Physician Assistant
3413 W PACIFIC AVE STE 102
BURBANK, CA 91505
Los Angeles County (818) 953-4408
JEMMILYN STEARNS PA-C
Physician Assistant
3413 W PACIFIC AVE STE 102
BURBANK, CA 91505
Los Angeles County (818) 953-4408

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 Shannon Ly's NPI number?

The NPI number for Shannon Ly is 1235848268. It was assigned to this individual provider in the NPPES registry on November 17, 2022.

Where is Shannon Ly located?

Shannon Ly practices at 3413 W Pacific Ave Ste 102, Burbank, CA 91505. The listed phone number is (818) 953-4408.

What is Shannon Ly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shannon Ly was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.