Individual provider Active NPI

Shree K Pandey, PA-C

  • Physician Assistant
  • Davis, CA
National Provider Identifier
1013639897
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62823 Issued in CA
Practice address
4515 Fermi PL Ste 105
Davis, CA 95618-9411
Phone
(530) 759-9110
NPI assigned
Sep 19, 2022
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA62823 CA Primary
Physician Assistant 363A00000X NU

Addresses

Primary practice location

4515 Fermi PL Ste 105
Davis, CA 95618-9411

Mailing address

4515 Fermi PL Ste 105
Davis, CA 95618-9411
Phone (530) 759-9110

Other practice location 1

3500 Data Dr
Rancho Cordova, CA 95670-7942
Phone (562) 304-9124

Other practice location 2

1307 W 6th St
Corona, CA 92882-3294
Phone (188) 887-3620

Other practice location 3

4321 Truxel Rd Ste F4
Sacramento, CA 95834-3753
Phone (916) 947-9110

Other practice location 4

400 Plaza Dr Ste 160
Folsom, CA 95630-4746
Phone (916) 953-7571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231013001245 CA Practitioner - Physician Assistant 4688029432 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Francisco Physicians International Medical Group IncGroup PAC ID 5597679225, 39 clinicians
Team Physicians of California Medical Group IncGroup PAC ID 8224945084, 92 clinicians
All Inclusive Medical Services Urgent Care, IncGroup PAC ID 3274930565, 9 clinicians

Practice addresses (Care Compare)

1800 N California St
Stockton, CA 95204-6019
Phone (209) 467-6556

5900 Coyle Ave
Carmichael, CA 95608-0400
Phone (916) 515-8855

7811 Laguna Blvd
Suite 161
Elk Grove, CA 95758-7949
Phone (916) 909-2467

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA62823CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Oct 1, 2023 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Dec 1, 2023 Accepting new patients
Team Physicians of California Medical Group Inc Physician Assistant CurrentSince Jan 24, 2026 Accepting new patients
Cep America-California CurrentSince Oct 1, 2023 Accepting new patients
Cep America-California CurrentSince Oct 1, 2023 Accepting new patients
San Francisco Physicians International Medical Group, Inc Physician Assistant CurrentSince Jan 24, 2026 Accepting new patients

Locations

4156 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 483-5400

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Interoperability endpoints

  • Direct secure messaging: shree.pandey.p1@direct.apdss.nextgenshare.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1013639897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 FERMI PL STE 105",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956189411",
            "telephone_number": "530-759-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 FERMI PL STE 105",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956189411",
            "telephone_number": "530-759-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Data Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "956707942",
            "country_code": "US",
            "telephone_number": "562-304-9124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928823294",
            "country_code": "US",
            "telephone_number": "188-887-3620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4321 Truxel Rd Ste F4",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958343753",
            "country_code": "US",
            "telephone_number": "916-947-9110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Plaza Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956304746",
            "country_code": "US",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "SHREE",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62823",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.