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

Shelby Nichole Makris, PA

Individual provider Physician Assistant · NPI 1316535636

Shelby Nichole Makris, PA is a Physician Assistant in Victorville, California. Qualified in 2021, 5 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12998 Hesperia Rd Ste 204
Victorville, CA 92395-8317
Phone: (760) 780-4960
Fax: (760) 780-4964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2151 N Harbor Blvd Ste 3200, Fullerton, CA 92835-3826 — (714) 446-5900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA59583 (CA)

Record details

NPI number1316535636
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 3, 2021
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

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 Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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