Active NPI
Shawn Vangronigen, P.A.
- Physician Assistant
- Hanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21123
- Practice address
- 325 Mall Dr Ste 111
Hanford, CA 93230-5916 - Phone
- (559) 583-7546
- NPI assigned
- Oct 4, 2011
- Last updated
- Aug 12, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21123 | CA | Primary |
Addresses
Primary practice location
325 Mall Dr Ste 111
Hanford, CA 93230-5916
Mailing address
3827 N 10TH St Ste 305
McAllen, TX 78501-1745
Phone (956) 803-0748
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
- University of California, Davis School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1337 S Lovers LN
Suite D
Visalia, CA 93292-5249
Phone (559) 627-9901
325 Mall Dr
Suite 111
Hanford, CA 93230-5916
Phone (559) 583-7546
573 W Putnam Ave
Porterville, CA 93257-3270
Phone (559) 781-1812
7115 N Chestnut Ave
Suite 101
Fresno, CA 93720-0361
Phone (559) 431-2397
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21123 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sol Dermatology Associates | Current | Accepting new patients | |
| Chico Dermatology Inc | Current | Accepting new patients | |
| Edgar S. Macias, M.D., Inc | Current | Accepting new patients |
Locations
774 East Ave
Chico, CA 95926
Phone (530) 774-2650
7115 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-2397
319 Mall Dr
Hanford, CA 93230
Phone (559) 431-2397
5333 Hollister Ave
Ste 105
Santa Barbara, CA 93111
Phone (805) 439-6871
3827 N 10th St
Ste 305
McAllen, TX 78501
Phone (956) 682-9894
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Fresno, CA
- NPI 1871882712
-
dba Lux Dermatology
- Dermatology Physician
- Hanford, CA
- NPI 1245782291
-
- Dermatology Physician
- Chico, CA
- NPI 1578121570
-
- Dermatology Physician
- Santa Barbara, CA
- NPI 1164391959
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1386928703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3827 N 10TH ST STE 305",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785011745",
"telephone_number": "956-803-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MALL DR STE 111",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305916",
"telephone_number": "559-583-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGRONIGEN",
"first_name": "SHAWN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-04",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.