MISS AMANDA JANE SHANKLIN (NPI# 1972827301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972827301 |
| Entity Type | Individual |
| Full Name | MISS AMANDA JANE SHANKLIN |
| Credential | MPAP, PA-C |
| Practice Address |
26401 Crown Valley Pkwy Mission Viejo CA 92691-6302 |
| Mailing Address |
26401 Crown Valley Pkwy Suite 101 Mission Viejo CA 92691-6302 |
| Practice Telephone | 9493484000 |
| Mailing Telephone | 9493484000 |
| Mailing Fax Number | 9493487466 |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2010-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA20694 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA20964 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LICENSE | PA20964 | 01 |
| CA | DEA | MS2175114 | 01 |
| Street Address |
26401 CROWN VALLEY PKWY |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700843059 | Jason W Knott | Physician Assistant | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 | 2006-04-28 |
| 1437706850 | Patricia Weiss | Physician Assistant | 26401 Crown Valley Pkwy, Mission Viejo, CA 92691-6302 | 2019-08-20 |
| 1407205875 | Tyler Grant Waldron | Physician Assistant | 26401 Crown Valley Pkwy, Ste 101, Mission Viejo, CA 92691-6302 | 2016-06-07 |
| 1477511095 | Charles L Stewart | Physician Assistant | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 | 2006-05-03 |
| 1447218219 | Tom D Thomas | Orthopaedic Surgery | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 | 2006-05-02 |
| 1659339414 | Jerald P Waldman | Orthopaedic Surgery | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 | 2006-05-02 |
| 1396703161 | John R Morris | Orthopaedic Surgery | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 | 2006-05-02 |
| 1508823873 | Community Orthopedic Medical Group | Orthopaedic Surgery | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6350 | 2006-04-28 |
| 1043277312 | Kent R Adamson | Orthopaedic Surgery | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 | 2006-04-28 |
| 1013974393 | Michael S Marandola | Orthopaedic Surgery | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 | 2006-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| 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 |
|---|---|---|---|---|
| 1942809009 | Jessica Michele Horning | Physician Assistant | 22211 Montellano, Mission Viejo, CA 92691-1409 | 2020-10-20 |
| 1881228757 | Tala Majaj | Physician Assistant | 25182 Fairgreen, Mission Viejo, CA 92692-2882 | 2020-02-28 |
| 1912387614 | Ronan Donnelly | Physician Assistant | 26401 Crown Valley Pkwy 101, Mission Viejo, CA 92691-6302 | 2015-06-08 |
| 1811238777 | Annelise Merriner | Physician Assistant | 26732 Crown Valley Pkwy Ste 327, Mission Viejo, CA 92691-6374 | 2013-03-01 |
| 1780918409 | Jessica Ashley Cone Vollebregt | Physician Assistant | 26991 Crown Valley Pkwy Ste 100, Mission Viejo, CA 92691-6528 | 2009-09-28 |
| 1720287170 | Stephanie Dawn Blodgett | Physician Assistant | 23962 Alicia Pkwy Ste I-1, Mission Viejo, CA 92691-3940 | 2007-07-16 |
| 1588735088 | Marisa Wayt | Physician Assistant | 27725 Santa Margarita Pkwy Ste 101, Mission Viejo, CA 92691-6706 | 2006-11-13 |
| 1396850962 | Rakhi Bhatia Paleker | Physician Assistant | 25982 Pala Ste 120, Mission Viejo, CA 92691-6724 | 2006-08-21 |
| 1982219267 | Kelsey Runft | Physician Assistant | 27660 Santa Margarita Pkwy, Mission Viejo, CA 92691-6674 | 2020-09-13 |
| 1518507987 | Kaveh Mashkouri | Physician Assistant | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2020-01-13 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on MISS AMANDA JANE SHANKLIN.
| 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.