Active NPI
Shree K Pandey, PA-C
- Physician Assistant
- Davis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA62823
- Practice address
- 4515 Fermi PL Ste 105
Davis, CA 95618-9411 - Phone
- (530) 759-9110
- NPI assigned
- Sep 19, 2022
- Last updated
- May 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA62823 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Team Physicians of California Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Cep America-California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| San Francisco Physicians International Medical Group, Inc | Physician Assistant | Current | 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
- 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.
-
dba San Ramon Emergency Physicians
- Emergency Medicine Physician
- San Ramon, CA
- NPI 1841220720
Physician Assistant
-
- Emergency Medicine Physician
- Delano, CA
- NPI 1447288345
Physician Assistant
-
- Urgent Care Clinic/Center
- Carmichael, CA
- NPI 1952917635
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Pain Clinic/Center
- Roseville, CA
- NPI 1427322635
-
- Internal Medicine Physician
- Carmichael, CA
- NPI 1508899758
-
- Specialist
- Davis, CA
- NPI 1669858817
-
dba Natomas Urgent Care
- Urgent Care Clinic/Center
- Sacramento, CA
- NPI 1063996122
-
- Emergency Medicine Physician
- Redding, CA
- NPI 1508605635
-
dba Urgent Care Now
- Urgent Care Clinic/Center
- Fair Oaks, CA
- NPI 1740881457
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
dba Sacramento Rehabilitation Hospital
- Rehabilitation Hospital
- Sacramento, CA
- NPI 1891421749
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.