Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shanon Star Murillo, PA-C

Individual provider Internal Medicine Physician · NPI 1104033018

Shanon Star Murillo, PA-C is a Physician Assistant in San Diego, California. Qualified in 2004, 22 years ago. Practices with Sharp Rees-Stealy Medical Group Inc, a 874-clinician group and accepts Medicare assignment. Licensed in California and Connecticut.

Years since qualifying
22
Licensed in
CA, CT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2401 Reo Dr
San Diego, CA 92139
Phone: (619) 479-6767
Fax: (619) 434-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence P20292 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 001546 (CT)

Record details

NPI number1104033018
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESFebruary 16, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Sharp Rees-Stealy Medical Group Inc — 874 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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