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

Shabnam Shahriyari

Individual provider Physician Assistant · NPI 1871258020

Shabnam Shahriyari is a Physician Assistant in Fullerton, California. Qualified in 2022, 4 years ago. Practices with Sunny Hills Behavioral Health Inc, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

140 E Commonwealth Ave Ste 101
Fullerton, CA 92832-1905
Phone: (714) 773-4111
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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 62095 (CA)

Record details

NPI number1871258020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 2, 2021
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 25, 2024
Mailing address23912 Copenhagen St, Mission Viejo, CA 92691-3022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sunny Hills Behavioral Health Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fullerton