Individual provider Active NPI

Danielle Terese Shanahan, PA-C

  • Physician Assistant
  • San Leandro, CA
National Provider Identifier
1659977676
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59456 Issued in CA
Practice address
201 Dolores Ave
San Leandro, CA 94577-5007
Phone
(510) 984-2489
Fax
(510) 788-6830
NPI assigned
Dec 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 59456 CA Primary

Addresses

Primary practice location

201 Dolores Ave
San Leandro, CA 94577-5007

Mailing address

201 Dolores Ave
San Leandro, CA 94577-5007
Phone (510) 984-2489

Other practice location 1

1970 Mountain Blvd
Oakland, CA 94611-2813
Phone (510) 984-2489

Other identifiers 1

IdentifierTypeStateIssuer
59456OtherCAPA-C LICENSE

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
I20210702000133 CA Practitioner - Physician Assistant 7113328733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

2186 Geary Blvd
Suite 320
San Francisco, CA 94115-3457
Phone (415) 749-6900

2999 Regent St
Suite 612
Berkeley, CA 94705-2121
Phone (510) 848-1727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59456CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Urology Med GR Current Accepting new patients
Bass Medical Group CurrentSince Oct 20, 2025 Accepting new patients
Bay Area Surgical Specialists Inc a Medical Corporation CurrentSince Oct 20, 2025 Accepting new patients
City Health, a Medical Corporation Current Accepting new patients
Golden Gate Urology Inc CurrentSince Jun 1, 2021 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2999 Regent St
Ste 612
Berkeley, CA 94705
Phone (510) 848-1727

1970 Mountain Blvd
Oakland, CA 94611
Phone (510) 984-2489

2100 Webster St
Ste 222
San Francisco, CA 94115
Phone (415) 202-0250

2186 Geary Blvd
Ste 214
San Francisco, CA 94115
Phone (415) 922-3047

201 Dolores Ave
San Leandro, CA 94577
Phone (510) 984-2489

Interoperability endpoints

  • Direct secure messaging: dshanahan189853@ehr.johnmuirhealth.com
  • Direct secure messaging: sdaniell550261@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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.

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": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1659977676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DOLORES AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775007",
            "telephone_number": "510-984-2489",
            "fax_number": "510-788-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOLORES AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775007",
            "telephone_number": "510-984-2489",
            "fax_number": "510-788-6830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946112813",
            "country_code": "US",
            "telephone_number": "510-984-2489",
            "fax_number": "510-788-6830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "DANIELLE",
        "middle_name": "TERESE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-06",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C LICENSE",
            "identifier": "59456",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.