Tarsy Shordon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20685 Issued in CA

Practice address

Naval Branch Health Clinic 3500 Guadalcanal St
San Diego, CA 92140-0588

Phone

(619) 524-0588

Fax

(619) 524-0852

NPI assigned

Sep 7, 2010

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hambrick Health Care

  dba My Health Stop

  • Clinic/Center
  • Chula Vista, CA
  • NPI 1063742435
  NPD (past)

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1083921472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL BRANCH HEALTH CLINIC 3500 GUADALCANAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921400588",
            "telephone_number": "619-524-0588",
            "fax_number": "619-524-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL BRANCH HEALTH CLINIC 3500 GUADALCANAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921400588",
            "telephone_number": "619-524-0588",
            "fax_number": "619-524-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORDON",
        "first_name": "TARSY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "20685",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leen R Shoka
• Ronke Ronnie Shonibare
• Daniel Shook
• Dana Simir Shookhoff, LMFT
• Jessica Shor
• Amy Shore, MA, MFT
• Tawnia Kristen Shore
• Zachary Shore, O.D.
• Shoreline Companies, LLC (South Bay Ambulance San Diego)
• Shoreline Recovery Center, LLC

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.