SHANNAN VAN HOUTEN PA
NPI 1740409168
Physician Assistant in Modesto, CA

Q: What is Shannan Van Houten's NPI number?

The NPI number for Shannan Van Houten is 1740409168. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Shannan Van Houten's specialty?

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

Active since April 24, 2007

1441 FLORIDA AVE, MODESTO, CA 95350(209) 681-2870(209) 468-7042 Get Directions Write a Review

NPPES record last updated: November 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannan Van Houten Pa NPPES

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

SHANNAN VAN HOUTEN PA (NPI 1740409168) is an individual physician assistant in Modesto, California, licensed in California (PA21438) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1740409168

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHANNAN VAN HOUTENCredential: PA

Location Address1441 FLORIDA AVEModesto, CA 95350-4404

Mailing AddressPo Box 575Escalon, CA 95320-0575 · (209) 681-2870 · Fax (209) 468-7042

Phone(209) 681-2870

Fax(209) 468-7042

Sole ProprietorYes

Enumeration DateApril 24, 2007

Last NPPES UpdateNovember 18, 2012

✔ NPI 1740409168 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 · PA21438

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.

1441 FLORIDA AVE, Modesto, CA 95350

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Other Identifiers 1

OtherPA21438CA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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.

DR. THUY-LIEN THI LE M.D.

Student in an Organized Health Care Education/Training Program