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

Shafon Rollins

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912520297

Shafon Rollins is a Physician Assistant in Richmond, California. Qualified in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2970 Hilltop Mall Rd Ste 203
Richmond, CA 94806-1949
Phone: (510) 222-8000
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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 59907 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912520297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2020
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022
Mailing address2970 Hilltop Mall Rd Ste 203, Richmond, CA 94806-1949

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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