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

Individual provider Physician Assistant · NPI 1144535980

Shana Putnam, PA-C is a Physician Assistant in Fontana, California. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Trained at
New York College of Osteo Medicine of New York Institute of Technology
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

9961 Sierra Ave
Fontana, CA 92335-6720
Phone: (909) 724-2321
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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 PA22069 (CA)

Record details

NPI number1144535980
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 17, 2010
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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