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

Elaine Shan, MD

Individual provider Pediatrics Physician · NPI 1053767434

Elaine Shan, MD is a Pediatrics Physician in Sacramento, California. Works from 3 locations. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3234 Marysville Blvd
Sacramento, CA 95815-1411
Phone: (918) 407-2495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 155 Calle Portal Ste 700, Sierra Vista, AZ 85635 — (520) 459-0203
  • 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 — (520) 626-7944

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A168601 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 58623 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence R75544 (AZ)

Record details

NPI number1053767434
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

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