Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew W. Shaw, PA-C

Individual provider Physician Assistant · NPI 1467837716

Andrew W. Shaw, PA-C is a Physician Assistant in Corona, California. Qualified in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
11
Licensed in
CA, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

341 Magnolia Ave Ste 101
Corona, CA 92879-3330
Phone: (951) 735-6060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA53882 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA60605829 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60605829 (WA)

Record details

NPI number1467837716
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2015
Last updated in NPPESSeptember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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