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

Shane Kelley, PA

Individual provider Physician Assistant · NPI 1073244851

Shane Kelley, PA is a Physician Assistant in Fullerton, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1716 N Mountain View Pl
Fullerton, CA 92831-1228
Phone: (949) 280-1387
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1073244851
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022
Mailing address1716 N Mountain View Pl, Fullerton, CA 92831-1228

Other providers in Fullerton