Madison Rose Denton Shevchenko, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA66060 Issued in CA

Practice address

3055 Alvarado St Ste 106
San Leandro, CA 94577-5711

Phone

(510) 969-4253

Fax

(510) 550-3686

NPI assigned

Mar 17, 2025

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

Other names 1

• Madison Rose Denton Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Tyrone E Snipes D O Internal Medicine Primary Care Inc

  dba Continuity Care Inc

  • Internal Medicine Physician
  • San Leandro, CA
  • NPI 1922619352
  Medicare reassignment

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1699575704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 ALVARADO ST STE 106",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775711",
            "telephone_number": "510-969-4253",
            "fax_number": "510-550-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 ALVARADO ST STE 106",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775711",
            "telephone_number": "510-969-4253",
            "fax_number": "510-550-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVCHENKO",
        "first_name": "MADISON",
        "middle_name": "ROSE DENTON",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "DENTON",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Munira Shemsu, RN
• Bing Chung Shen, M.D.
• Richard Van Shen, M.D.
• Tynesha Sherman-Campbell
• Katherine Clare Sherwood
• Anne Catherine Shibley
• Kelsey Ann Shiell
• Vicky Shih
• Austin Laurent Shilstone
• Darrin Masao Shimada, P.T.

• Physician Assistant in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.

Verify at the official NPI Registry.