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

Shomal Prasad

Individual provider Physician Assistant · NPI 1619713229

Shomal Prasad is a Physician Assistant in San Pablo, California. Qualified in 2024, 2 years ago. Practices with Enloe Medical Center, a 331-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

2267 Del Monte Dr
San Pablo, CA 94806-1020
Phone: (510) 565-9745
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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 PA65399 (CA)

Record details

NPI number1619713229
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 10, 2025
Mailing address2267 Del Monte Dr, San Pablo, CA 94806-1020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Enloe Medical Center — 331 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in San Pablo