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

Mason Devon, PA

Individual provider Medical Physician Assistant · NPI 1235492299

Mason Devon, PA is a Physician Assistant in Santa Monica, California. Qualified in 2012, 14 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
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

2001 Santa Monica Blvd Ste 680W
Santa Monica, CA 90404-2111
Phone: (310) 829-8928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 S Buena Vista St Dept 1n, Burbank, CA 91505-4809 — (310) 847-6049

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 22620 (CA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1235492299
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 24, 2012
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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