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

Sharon Samantha Stannislaus

Individual provider Physician Assistant · NPI 1891301214

Sharon Samantha Stannislaus is a Physician Assistant in Pomona, California. Qualified in 2021, 5 years ago. Practices with Scott C Lederhaus MD and Lew B Disney MD Prt Lederhaus Scott C Gen Ptr, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

255 E Bonita Ave Bldg 9
Pomona, CA 91767-1923
Phone: (909) 450-0369
Fax: (909) 450-0366
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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 PA60059 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1891301214
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2020
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Scott C Lederhaus Md And Lew B Disney Md Prt Lederhaus Scott C Gen Ptr — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Pomona