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

Mr. Cody Shane Osborn

Individual provider Physician Assistant · NPI 1669061297

Mr. Cody Shane Osborn is a Physician Assistant in Monterey, California. Qualified in 2021, 5 years ago. Practices with Smi Imaging LLC, a 376-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1207 Sylvan Rd
Monterey, CA 93940-4942
Phone: (831) 601-1131
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1669061297
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2021
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021
Mailing address1207 Sylvan Rd, Monterey, CA 93940-4942

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 Smi Imaging Llc — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations32 on file with Medicare

Other providers in Monterey