Search › California › 363A00000X
Shannon Pacheco, PA-C
NPI 1295324838 · on the registry since 2021 · sole proprietor
Practice
- Address
- 11865 Carmel Mountain Rd Ste 1104
San Diego, CA 92128 - Phone
- (858) 997-2583
- Fax
- (858) 795-1195
- Organisation at this address
- Monica Perlman Md Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 5 Neponset St, Worcester, MA
- 77 E Merrimack St Ste 22, Lowell, MA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
363A00000X - Licence states on file
- CA, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California