Shannon Ashoori, PA-C

Individual provider Active NPI Physician Assistant · Calabasas, CA

NPI 1679339154 · NPPES record last updated Dec 10, 2025

Key facts

NPI
1679339154
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA64909 (CA)
Practice address
22744 Paul Revere Dr
Calabasas, CA 91302-4812
Phone
(818) 917-0148
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PA64909CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Besa Health Yang P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA64909 CA Yes
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

22744 Paul Revere Dr
Calabasas, CA 91302-4812

Mailing address

22744 Paul Revere Dr
Calabasas, CA 91302-4812
Phone (818) 917-0148

Other providers in Calabasas, CA

All providers in Calabasas, CA · Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.