Individual provider Active NPI

Shairah Carpio, PA

  • Physician Assistant
  • Murrieta, CA
National Provider Identifier
1043809254
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA59168 Issued in CA
Practice address
28078 Baxter Rd Ste 530
Murrieta, CA 92563-1405
Phone
(951) 566-5229
Fax
(951) 698-0272
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA59168 CA Primary

Addresses

Primary practice location

28078 Baxter Rd Ste 530
Murrieta, CA 92563-1405

Mailing address

28078 Baxter Rd Ste 530
Murrieta, CA 92563-1405
Phone (951) 566-5229

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
I20210401001733 CA Practitioner - Physician Assistant 4183031420 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59168CAMDGeneral Practice Dentistry
PA59168CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 15, 2021 Accepting new patients
United Medical Doctors Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

502 Torrance Blvd
Redondo Beach, CA 90277
Phone (213) 316-0811

Interoperability endpoints

  • Direct secure messaging: shairah.carpio.p33@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: scarpio24197@epiclp.direct-ci.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1043809254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 530",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631405",
            "telephone_number": "951-566-5229",
            "fax_number": "951-698-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 530",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631405",
            "telephone_number": "951-566-5229",
            "fax_number": "951-698-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPIO",
        "first_name": "SHAIRAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.