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

Mrs. Jeanette Wong Shibata, MSPA

Individual provider Physician Assistant · NPI 1306031448

Mrs. Jeanette Wong Shibata, MSPA is a Physician Assistant in Colton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324
Phone: (909) 580-1000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1306031448
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPA
Sole proprietorNo
NPI enumeratedSeptember 12, 2007
Last updated in NPPESJune 7, 2010

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