MRS. SHANNON NEVAH MALABUYO (NPI# 1669742797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669742797 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON NEVAH MALABUYO |
| Credential | PA-C |
| Practice Address |
221 E Hacienda Ave Ste B Campbell CA 95008-6625 |
| Practice Telephone | 4083763350 |
| Practice Fax Number | 4083763350 |
| Mailing Telephone | 4086560234 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2017-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA21972 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
221 E HACIENDA AVE STE B |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-6625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831368638 | Shelley Marie Cowan | Physical Medicine & Rehabilitation | 221 E Hacienda Ave Ste B, Campbell, CA 95008-6625 | 2008-02-26 |
| 1710543467 | Bay Area Surgical Specialists | Family Medicine | 221 E Hacienda Ave Ste B, Campbell, CA 95008-6625 | 2019-05-17 |
| 1386207694 | Sarah Kathleen Hunter | Family Medicine | 221 E Hacienda Ave Ste B, Campbell, CA 95008-6625 | 2019-04-22 |
| 1871074500 | Tiffany L. Gorman, Md | Family Medicine | 221 E Hacienda Ave Ste B, Campbell, CA 95008-6625 | 2018-08-21 |
| 1669886206 | Svetlana Dani | Family Medicine | 221 E Hacienda Ave Ste B, Campbell, CA 95008-6625 | 2014-06-11 |
| 1730523499 | Nathan Glen Singh | Family Medicine | 221 E Hacienda Ave Ste B, Campbell, CA 95008 | 2013-04-24 |
| 1689838716 | Craig Alan Brammell | Physician Assistant | 221 E Hacienda Ave Ste B, Campbell, CA 95008-6625 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1609302348 | Lisa Neinchel | Physician Assistant | 190 Rose Ct, Apt 3, Campbell, CA 95008-2894 | 2017-05-01 |
| 1801331897 | Juliane Durett | Physician Assistant | 86 W Rincon Ave Apt 20, Campbell, CA 95008-2833 | 2016-12-29 |
| 1770910820 | Margaret Hunt | Physician Assistant | 167 Llewellyn Ave, Campbell, CA 95008-1930 | 2013-10-03 |
| 1801222443 | Tiffany Butler | Physician Assistant | 409 Esther Ave, Campbell, CA 95008-1250 | 2013-09-14 |
| 1306103650 | Beata Ann Vieira | Physician Assistant | 2165 S Bascom Ave, Campbell, CA 95008-3280 | 2012-04-11 |
| 1861716045 | Clark Bishop | Physician Assistant | 245 Union Ave Apt A1001, Campbell, CA 95008-3524 | 2010-03-17 |
| 1992923668 | Jennifer T Nguyen | Physician Assistant | 50 E Hamilton Ave Ste 120, Campbell, CA 95008-0251 | 2007-04-20 |
| 1699320374 | Erin Louise Scott | Physician Assistant | 315 Struthers Liberty Rd, Campbell, OH 44405-1973 | 2019-08-08 |
| 1063870830 | Shelby Ann Fitch | Physician Assistant | 315 Struthers Liberty Rd, Campbell, OH 44405-1973 | 2016-02-08 |
| Find all providers in CAMPBELL | ||||
Please comment or provide details below to improve the information on MRS. SHANNON NEVAH MALABUYO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.