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

Individual provider Physician Assistant · NPI 1417576380

Shamila Shanmugam, PA-C is a Physician Assistant in El Segundo, California. Qualified in 2020, 6 years ago. Practices with Csi Medical Group, a 104-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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

713 N Douglas St
El Segundo, CA 90245-2830
Phone: (310) 906-2788
Fax: (310) 906-2786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA65548 (CA)

Record details

NPI number1417576380
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 10, 2020
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Csi Medical Group — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in El Segundo