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

Mr. Mark Jay Shannon, PA

Individual provider Medical Physician Assistant · NPI 1225367519

Mr. Mark Jay Shannon, PA is a Medical Physician Assistant in Sacramento, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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

1201 Alhambra Blvd Ste 400
Sacramento, CA 95816-5238
Phone: (916) 733-5090
Fax: (916) 733-5062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA12702 (CA)

Record details

NPI number1225367519
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 15, 2009
Last updated in NPPESMarch 7, 2023

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