Healthcare Provider Details

I. General information

NPI: 1053697557
Provider Name (Legal Business Name): ALLISON SHEA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2011
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 STATE ST STE 3
SANTA BARBARA CA
93105-5101
US

IV. Provider business mailing address

3905 STATE ST STE 3
SANTA BARBARA CA
93105-5101
US

V. Phone/Fax

Practice location:
  • Phone: 805-687-8378
  • Fax:
Mailing address:
  • Phone: 805-687-8378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA59421
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number015268-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: