Shannon Pacheco, PA-C
Physician Assistant in La Mesa, California
1295324838- Practice location
- 8530 La Mesa Blvd Ste 200, La Mesa, CA 91942-0966
- Phone
- 619-515-2585
- Fax
- —
- Last updated
- September 22, 2026
Shannon Pacheco is a Physician Assistant based in La Mesa, CA. Shannon Pacheco practices in La Mesa, CA and has the professional credentials of PA-C. The NPI Number for Shannon Pacheco is 1295324838 and holds a License No. PA65562 (CA). The current practice location address for Shannon Pacheco is 8530 La Mesa Blvd Ste 200, La Mesa, CA 91942-0966 and can be reached out via phone at 619-515-2585.
Provider Profile Details
- NPI Number
- 1295324838
- Provider Name
- Shannon Pacheco
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8530 La Mesa Blvd Ste 200, La Mesa, CA 91942-0966
- Phone Number
- 619-515-2585
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Other Names
- Shannon Staruk, PA-C (Former Name)
- Provider Enumeration Date
- January 17, 2021
- Last Update Date
- September 22, 2026
- Certification Date
- September 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8530 La Mesa Blvd Ste 200
La Mesa, CA 91942-0966 - City
- La Mesa
- State
- California
- Zip
- 91942-0966
- Phone Number
- 619-515-2585
Provider Business Mailing Address Details
- Address
- 823 Gateway Center Way
San Diego, CA 92102-4541 - City
- San Diego
- State
- CA
- Zip
- 92102-4541
- Phone Number
- 619-515-2300
License Information
- License Number (1)
- PA65562
- License State (1)
- CA
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- PA8729
- License State (3)
- MA
- Taxonomy (3)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near La Mesa, CA
View all Physician Assistants in La Mesa →Frequently Asked Questions
What is the NPI number of Shannon Pacheco, PA-C?
The NPI number of Shannon Pacheco, PA-C is 1295324838. It was assigned on January 17, 2021 and is currently active in the NPPES registry.
What is the specialty of Shannon Pacheco, PA-C?
Shannon Pacheco, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CA under license number PA65562.
Where does Shannon Pacheco, PA-C practice?
The practice location is 8530 La Mesa Blvd Ste 200, La Mesa, CA 91942-0966. The office can be reached at 619-515-2585 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295324838 directly on the NPPES registry website.