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

Shannon Rasmussen

Individual provider Medical Physician Assistant · NPI 1134748080

Shannon Rasmussen is a Physician Assistant in Downey, California. Qualified in 2019, 7 years ago. Practices with Island Dermatology, Inc, a 27-clinician group and accepts Medicare assignment. Licensed in California, Oregon and Utah.

Years since qualifying
7
Licensed in
CA, OR, UT
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

8345 Firestone Blvd Ste 310
Downey, CA 90241-3872
Phone: (562) 923-3001
Fax: (562) 904-0321
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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 PA200776 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 7680341-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 59765 (CA)

Record details

NPI number1134748080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2020
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address8345 Firestone Blvd Ste 310, Downey, CA 90241-3872

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Island Dermatology, Inc. — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Downey