Active NPI
Kristine Shair
- Physician Assistant
- Yorba Linda, CA
National Provider Identifier
1679469951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA67352
- Practice address
- 18200 Yorba Linda Blvd Ste 250
Yorba Linda, CA 92886-4044 - Phone
- (714) 577-6000
- NPI assigned
- Jun 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA67352 | CA | Primary |
Addresses
Primary practice location
18200 Yorba Linda Blvd Ste 250
Yorba Linda, CA 92886-4044
Mailing address
3191 Hampton Dr
West Covina, CA 91791-3487
Phone (626) 862-5789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA67352 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1679469951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3191 HAMPTON DR",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917913487",
"telephone_number": "626-862-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18200 YORBA LINDA BLVD STE 250",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928864044",
"telephone_number": "714-577-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIR",
"first_name": "KRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-14",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA67352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.