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

Shane A Cordrey

Individual provider Medical Physician Assistant · NPI 1508222084

Shane A Cordrey is a Physician Assistant in Temecula, California. Qualified in 2015, 11 years ago. Practices with Rancho Family Medical Group Inc, a 112-clinician group and accepts Medicare assignment. Licensed in California and Tennessee.

Years since qualifying
11
Licensed in
CA, TN
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

28780 Single Oak Dr Ste 260
Temecula, CA 92590-5534
Phone: (951) 676-4193
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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 54923 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2936 (TN)

Record details

NPI number1508222084
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2016
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing address28780 Single Oak Dr Ste 260, Temecula, CA 92590-5534

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Rancho Family Medical Group Inc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Temecula