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

Individual provider Physician Assistant · NPI 1417755323

Shelby Hart, PA-C is a Physician Assistant in Lake Forest, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
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

22481 Aspan St Ste A
Lake Forest, CA 92630-1648
Phone: (949) 240-2272
Fax: (949) 429-7607
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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 PA65766 (CA)

Record details

NPI number1417755323
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 5, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

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