Shannon Lambert, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20029 Issued in CA

Practice address

585 N Mountain Ave
Suite a
Upland, CA 91786-8516

Phone

(909) 946-2228

Fax

(909) 946-8007

NPI assigned

Jan 6, 2009

Last updated

Oct 19, 2011By the provider in NPPES

Sex

Female

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

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skinphysicians and Surgeons Medical Group IncGroup PAC ID 3971401126, 6 clinicians

Forefront Dermatology - Pacific, P.C.Group PAC ID 8325946015, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Forefront Dermatology - Pacific, P.C.

  dba Forefront Dermatology

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1356535009
  Medicare reassignment Care Compare group NPD (past)
• Skinphysicians & Surgeons Medical Group, Inc.

  dba SkinPhysicians & Surgeons, A Forefront Dermatology Practice

  • Dermatology Physician
  • Upland, CA
  • NPI 1356411524
  Medicare reassignment Care Compare group
• Laurie M. Woll, D.O., Dermatology, a Medical Corp

  • Specialist
  • Montclair, CA
  • NPI 1477740546
  Medicare reassignment
• Forefront Dermatology - Pacific, P.C.

  dba SkinPhysicians & Surgeons, A Forefront Dermatology Practice

  • Dermatology Physician
  • Chino, CA
  • NPI 1013743079
  NPD
• Forefront Dermatology - Pacific, P.C.

  dba SkinPhysicians & Surgeons, A Forefront Dermatology Practice

  • Dermatology Physician
  • Upland, CA
  • NPI 1487480448
  NPD
• Bradley Mudge MD Inc

  dba Novare Plastic Surgery and Skin Care Center

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1548324791
  NPD (past)

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1548406952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N MOUNTAIN AVE",
            "address_2": "SUITE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868516",
            "telephone_number": "909-946-2228",
            "fax_number": "909-946-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soe-Moe Kyaw, M.D.
• Carissa Ladwig-Cox, PA-C
• Yin Hsiung Lai, MD
• Martin Winata Laksana, D.D.S.
• Tracy Lam-Luu, DC
• Jillian Rose Lambright
• Landmark Pharma Inc (Alta Care Pharmacy)
• Lakesha S. Lane
• Langroodi Upland Dental P.C. (Upland Dental Professional Corporation)
• Houman Langroodi, DDS

• Physician Assistant in Upland, CA
• Providers in Upland, 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 19, 2011; 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.

Verify at the official NPI Registry.