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

Individual provider Physician Assistant · NPI 1740409168

Shannan Van Houten, PA is a Physician Assistant in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1441 Florida Ave
Modesto, CA 95350-4404
Phone: (209) 681-2870
Fax: (209) 468-7042
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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 PA21438 (CA)

Record details

NPI number1740409168
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESNovember 18, 2012

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