Active NPI
Shannon Lenore Farrell, PA
- Surgical Physician Assistant
- San Francisco, CA
National Provider Identifier
1417350976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 51837
- Practice address
- Department of Neurological Surgery UCSF
400 Parnassus Avenue, Room A311
San Francisco, CA 94143-0332 - Phone
- (415) 353-9369
- NPI assigned
- Sep 29, 2014
- Last updated
- Sep 29, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 51837 | CA | Primary |
Addresses
Primary practice location
Department of Neurological Surgery UCSF
400 Parnassus Avenue, Room A311
San Francisco, CA 94143-0332
Mailing address
Department of Neurological Surgery UCSF
400 Parnassus Avenue, Room A311
San Francisco, CA 94143-0332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51837 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1417350976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF NEUROLOGICAL SURGERY UCSF",
"address_2": "400 PARNASSUS AVENUE, ROOM A311",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF NEUROLOGICAL SURGERY UCSF",
"address_2": "400 PARNASSUS AVENUE, ROOM A311",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430332",
"telephone_number": "415-353-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "SHANNON",
"middle_name": "LENORE",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-29",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "51837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.