Individual provider Active NPI

Pamela L Sunshine, PA-C

  • Medical Physician Assistant
  • Park City, UT
National Provider Identifier
1396830402
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6296063-1206 Issued in UT
Practice address
8178 Gorgoza Pines Rd
Park City, UT 84098-4607
Phone
(801) 747-7244
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6296063-1206 UT
Medical Physician Assistant 363AM0700X 6296063-1206 UT Primary

Addresses

Primary practice location

8178 Gorgoza Pines Rd
Park City, UT 84098-4607

Mailing address

2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600

Other practice location 1

5131 S Cottonwood St # L-2
Murray, UT 84107-5701
Phone (801) 263-3416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20070613000640 UT Practitioner - Physician Assistant 2062510142 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granger Medical Clinic PCGroup PAC ID 3476465691, 192 clinicians

Practice addresses (Care Compare)

2965 W 3500
West Valley City, UT 84119-3602
Phone (801) 965-3600

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
77.34
Promoting interoperability
90
Improvement activities
40
Cost
77.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6296063-1206UTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Granger Medical Specialists LLC CurrentSince Nov 17, 2025 Accepting new patients
Granger Medical Clinic PC Current Accepting new patients
Granger Medical Clinic, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Utah Cancer Specialists PC Physician Assistant CurrentSince Aug 24, 2020 Accepting new patients
Granger Medical Specialists, LLC CurrentSince Nov 17, 2025 Accepting new patients
Granger Medical Clinic PC CurrentSince Nov 17, 2025 Accepting new patients
Utah Cancer Specialists PC Physician Assistant PastSince Nov 30, 2025 Accepting new patients
Granger Medical Clinic PC Past Accepting new patients

Locations

5131 S Cottonwood St
Ste L2
Murray, UT 84107
Phone (801) 263-3416

8178 Gorgoza Pines Rd
Unit 8H
Park City, UT 84098
Phone (801) 747-7244

12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700

5131 S Cottonwood St
#L2
Salt Lake City, UT 84107
Phone (801) 263-3416

389 S 900 E
Ste 100
Salt Lake City, UT 84102
Phone (385) 347-5500

1121 E 3900 S
Ste C230
Salt Lake City, UT 84124

3838 S 700 E
Ste 100
Salt Lake Cty, UT 84106
Phone (801) 269-0231

10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095

995 W Levoy Dr
Taylorsville, UT 84123

2965 W 3500 S
West Valley City, UT 84119
Phone (801) 965-3505

Organizations & group practices 8

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1396830402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193602",
            "telephone_number": "801-965-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8178 GORGOZA PINES RD",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984607",
            "telephone_number": "801-747-7244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5131 S Cottonwood St # L-2",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841075701",
            "country_code": "US",
            "telephone_number": "801-263-3416",
            "fax_number": "801-263-3428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNSHINE",
        "first_name": "PAMELA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "6296063-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "6296063-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.