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

MS. Shonti G. Breisch, PA-C

Individual provider Physician Assistant · NPI 1447725247

MS. Shonti G. Breisch, PA-C is a Physician Assistant in Salt Lake City, Utah. Qualified in 2019, 7 years ago. Practices with Tooele Clinic Corp, a 64-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

50 N Medical Dr
Salt Lake City, UT 84132-1947
Phone: (801) 581-7606
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 6150 S Vineway Cir, Murray, UT 84121-1947 — (801) 243-8165
  • 3580 W 9000 S, West Jordan, UT 84088-8812 — (801) 561-8888

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11439425-1206 (UT)

Record details

NPI number1447725247
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tooele Clinic Corp — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Salt Lake City