Shane Sternhill Bellon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2704 E Willow St
Signal Hill, CA 90755-2217

Phone

(818) 665-9505

NPI assigned

Jul 28, 2019

Last updated

Oct 9, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: shane.bellon.1@11920.direct.athenahealth.com

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1356995344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552217",
            "telephone_number": "562-490-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552217",
            "telephone_number": "818-665-9505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 E 21st St Unit 312",
            "address_purpose": "LOCATION",
            "city": "Signal Hill",
            "state": "CA",
            "postal_code": "907555974",
            "country_code": "US",
            "telephone_number": "818-665-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLON",
        "first_name": "SHANE",
        "middle_name": "STERNHILL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-28",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Barnes-Hinkson, LCSW
• Raul Bates Jr.
• Charankanwaljit Bath, PT, DPT
• Steven Alan Beals, CRNA
• Jann Levic Belleza
• Jacqueline Marie Benson, PSYD
• Andrew Benyamin
• Brandon Johansen Bishop, DPT
• Brittnee Bolton
• Braden Partners LP (Pacific Pulmonary Services)

• Physician Assistant in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.