Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Chondra Elise Shanks, PA-C

Individual provider Physician Assistant · NPI 1467762179

MS. Chondra Elise Shanks, PA-C is a Physician Assistant in San Bernardino, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

665 N D St
San Bernardino, CA 92401-1109
Phone: (909) 708-8158
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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 21231 (CA)

Record details

NPI number1467762179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2010
Last updated in NPPESMay 8, 2013

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