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SHANNON LY
NPI 1235848268
Physician Assistant in Fullerton, CA

Active since November 17, 2022
101 E VALENCIA MESA DR, FULLERTON, CA 92835(714) 651-8138 Get Directions Write a Review

NPPES record last updated: February 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2023, Nov 17, 2022 (2 updates tracked since 2022).

About Shannon Ly NPPES

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

SHANNON LY (NPI 1235848268) is an individual physician assistant in Fullerton, 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 LY
Location Address101 E VALENCIA MESA DRFullerton, CA 92835-3809
Mailing AddressPo Box 505Temple City, CA 91780-0505
Phone(714) 651-8138
Sole ProprietorNo
Enumeration DateNovember 17, 2022
Last NPPES UpdateFebruary 5, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2023
✔ NPI 1235848268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 E VALENCIA MESA DR, Fullerton, CA 92835
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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.

PIUS J. KIM M.D.
Internal Medicine
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 447-5027
PARAM WALIA MD NEUROSCIENCES SERVICES CORPORATION
Neurological Surgery
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 446-5830
JOHN BYRON MACCARTHY MD
Anesthesiology
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 871-3280
GLORIA LYNN FRANKLIN NP MSN
Nurse Practitioner (Family)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (909) 717-9589
DR. MARTIN JOSEPH BREEN JR. PHARM.D.
Pharmacist (Pharmacotherapy)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 992-3143
NELSON IVAN AGUINAGA RN, FNP
Nurse Practitioner (Family)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 871-3280
DR. JONATHON AHN MD
Anesthesiology
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 871-3280
MR. DANIEL BENJAMIN GRAVILONI RCP
Respiratory Therapist, Registered (Neonatal/Pediatrics)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 992-3000

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 101 E Valencia Mesa Dr, Fullerton, CA 92835. The listed phone number is (714) 651-8138.

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 February 5, 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.