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

Individual provider Physician Assistant · NPI 1255071981

Shannaleah Shahedi, MASTERS is a Physician Assistant in Vallejo, California. Qualified in 2024, 2 years ago. Practices with Ritter Center, a 3-clinician group.

Years since qualifying
2
In the registry since
2022
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Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (408) 472-1279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1255071981
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASTERS
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ritter Center — 3 clinicians
Accepts Medicare assignment Not indicated

Other providers in Vallejo