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

Brianne Pualani Shea, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841804754

Brianne Pualani Shea, PA is a Physician Assistant in Santa Rosa, California. Qualified in 2021, 5 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1162 Montgomery Dr Ste 300
Santa Rosa, CA 95405-4802
Phone: (707) 890-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 Acacia Ave, San Rafael, CA 94901-2230 — (415) 457-4440

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60640 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841804754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 8, 2020
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Rosa