SHANNALEAH SHAHEDI MASTERS
NPI 1255071981
Physician Assistant in Vallejo, CA

Q: What is Shannaleah Shahedi's NPI number?

The NPI number for Shannaleah Shahedi is 1255071981. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Shannaleah Shahedi's specialty?

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

Active since March 30, 2022PECOS Enrolled

1310 CLUB DR, VALLEJO, CA 94592(408) 472-1279 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shannaleah Shahedi Masters NPPES

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

SHANNALEAH SHAHEDI MASTERS (NPI 1255071981) is an individual physician assistant in Vallejo, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255071981

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHANNALEAH SHAHEDICredential: MASTERS

Location Address1310 CLUB DRVallejo, CA 94592-1187

Mailing Address1310 Club DrVallejo, CA 94592-1187 · (408) 472-1279

Phone(408) 472-1279

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 30, 2022

NPPES CertifiedMarch 30, 2022

✔ NPI 1255071981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

1310 CLUB DR, Vallejo, CA 94592

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannaleah Shahedi Masters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719499110

PECOS Enrollment IDI20250623001291

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94592 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$80.24 typical visit price

range $21.86 – $157.69

Typical copayment $20.06 (range $5.46 – $39.42)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THAO-VY THI TRAN

Physician Assistant