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

Shanna E. Avila, PA

Individual provider Physician Assistant · NPI 1639418874

Shanna E. Avila, PA is a Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
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 →

Practice location Address checks out

4510 Executive Dr Ste 200
San Diego, CA 92121-3023
Phone: (858) 544-3005
Fax: (858) 453-7268
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60348 (CA)

Record details

NPI number1639418874
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2013
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

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