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

Shannon Natanya Tate, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1609827187

Shannon Natanya Tate, PHYSICIANASSISTANT is a Physician Assistant in Woodland Hills, California. Graduated from Howard University College of Medicine in 2008, 18 years ago. Practices with Exer Medical Corporation, a 333-clinician group and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
18
Trained at
Howard University College of Medicine
Licensed in
CA, GA
In the registry since
2006
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5601 De Soto Ave
Woodland Hills, CA 91367-6701
Phone: (833) 574-2273
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 · Licence 22283 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 4324 (GA)

Record details

NPI number1609827187
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Exer Medical Corporation — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Woodland Hills