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

Maralee Shadle, PA

Individual provider Physician Assistant · NPI 1013065903

Maralee Shadle, PA is a Physician Assistant in Fontana, California. Graduated from College of Osteopathic Physicians and Surgeons of Los Angeles in 1995, 31 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
College of Osteopathic Physicians and Surgeons of Los Angeles
Licensed in
CA
In the registry since
2007
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

9961 Sierra Ave
Fontana, CA 92335-6720
Phone: (909) 427-3910
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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 PA13768 (CA)

Record details

NPI number1013065903
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESNovember 29, 2021
Mailing address9961 Sierra Ave, Fontana, CA 92335-6720

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCOLLEGE OF OSTEOPATHIC PHYSICIANS AND SURGEONS OF LOS ANGELES
Graduated 1995 (31 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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