Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073244851 Individual Practitioner Male Practitioner

Shane Kelley , PA

Physician Assistant • Fullerton, CA

Professional Overview & Biography Verified Profile Summary

Shane Kelley, PA is a registered healthcare professional specializing in Physician Assistant in Fullerton, CA. Practice services are available at 1716 N MOUNTAIN VIEW PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1716 N Mountain View Pl

Fullerton, CA 928311228

Telephone 9492801387

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fullerton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
139 Specialists

Practicing in Fullerton, CA (14617 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 22, 2022

NPI status registered as active in NPPES database

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Updated Practice Location June 22, 2022

Registered at 1716 N MOUNTAIN VIEW PL, FULLERTON, CA 928311228 (Tel: 9492801387)

📍
Updated Business Mailing Address June 22, 2022

Registered at 1716 N MOUNTAIN VIEW PL, FULLERTON, CA 928311228 (Tel: 9492801387)

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Provider Name / Credentials Updated June 22, 2022

Recorded as SHANE KELLEY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 22, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073244851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2022
Last Update: June 22, 2022
Sole Proprietor: Yes

Mailing Address

1716 N Mountain View Pl

Fullerton, CA 928311228

Phone: 9492801387

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.