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

Angie Shammo

Individual provider Nurse Practitioner · NPI 1679110464

Angie Shammo is a Nurse Practitioner in Escondido, California. Qualified in 2019, 7 years ago. Practices with Graybill Medical Group Inc, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
7
Licensed in
CA, MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

225 E 2nd Ave
Escondido, CA 92025-4212
Phone: (760) 291-6777
Fax: (760) 737-7324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3252 Holiday Ct Ste 208, La Jolla, CA 92037-1808 — (858) 247-0242

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95018797 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704328368 (MI)

Record details

NPI number1679110464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 29, 2019
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address225 E 2nd Ave, Escondido, CA 92025-4212

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Graybill Medical Group Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Escondido