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

Shannon Polley

Individual provider Physician Assistant · NPI 1225608722

Shannon Polley is a Physician Assistant in Chula Vista, California. Graduated from Tufts University School of Medicine in 2022, 4 years ago. Practices with Family Health Centers of San Diego Inc, a 297-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

765 Medical Center Ct Ste 211
Chula Vista, CA 91911-6600
Phone: (617) 636-0405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4725 Market St, San Diego, CA 92102-4715 — (619) 515-2560

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60864 (CA)

Record details

NPI number1225608722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2021
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Family Health Centers Of San Diego Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Chula Vista