Shannon Boyce, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

61723 Issued in CA

Practice address

1350 Columbia St Unit 800
San Diego, CA 92101-3456

Phone

(619) 255-1652

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

Yes

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Robert Zalewski-Zaragoza MD IncGroup PAC ID 6507084191, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shannon.boyce.1@18773.direct.athenahealth.com

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.

• Robert Zalewski-Zaragoza, MD, Inc

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1366857476
  Medicare reassignment Care Compare group
• Psychiatric Services Incorporated

  • Psychiatry Physician
  • Agoura Hills, CA
  • NPI 1417274036

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1609590660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 COLUMBIA ST UNIT 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013456",
            "telephone_number": "619-255-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 COLUMBIA ST UNIT 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013456",
            "telephone_number": "619-255-1652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Bay Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919105261",
            "country_code": "US",
            "telephone_number": "619-842-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "SHANNON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Boyar, MASSAGE THERAPIST
• Aaron Jonathan Boyas
• Dallas A Boyce
• Leanne Boyce, M.S. CCC-SLP
• Megan Boyce
• Denise Boychuk, PSY.D.
• Tamantha Boychuk, LCSW
• Sarah Boyd-Merritt
• Anne Boyd, L.AC.
• Briana Boyd, PHD

• Physician Assistant in San Diego, CA
• Providers in San Diego, 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 3, 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.

Verify at the official NPI Registry.