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

Shiva Kasravi, PA-C

Individual provider Physician Assistant · NPI 1881220234

Shiva Kasravi, PA-C is a Physician Assistant in Sacramento, California. Graduated from Yale University School of Medicine in 2020, 6 years ago. Practices with American Specialty Physicians Group Inc, a 92-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Yale University School of Medicine
Licensed in
CA
In the registry since
2020
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

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone: (916) 703-4496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1750 Wright St, Sacramento, CA 95825-4041 — (855) 354-2242
  • 100 Church Street South, New Haven, CT 06519 — (925) 408-6987

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 58307 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881220234
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 18, 2020
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice American Specialty Physicians Group Inc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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