Individual provider Active NPI

Shawn Vangronigen, P.A.

  • Physician Assistant
  • Hanford, CA
National Provider Identifier
1386928703
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21123 Issued in CA
Practice address
325 Mall Dr Ste 111
Hanford, CA 93230-5916
Phone
(559) 583-7546
NPI assigned
Oct 4, 2011
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111021000574 CA Practitioner - Physician Assistant 0244403053 Reassigns benefits to 4 organizations

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
Artius Dermatology Associates PCGroup PAC ID 6305126780, 17 clinicians
Edgar S. Macias, M.D., IncGroup PAC ID 2567630551, 13 clinicians

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 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA21123CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Dermatology Associates CurrentSince Jan 1, 2026 Accepting new patients
Chico Dermatology Inc CurrentSince Oct 1, 2025 Accepting new patients
Edgar S. Macias, M.D., Inc CurrentSince Mar 1, 2026 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.