MEDICARE: SHAOXING N BARNES PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	51676	CA

General Provider Information

NPI Number	:	1043624786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAOXING N BARNES PA-C

Provider Business Mailing Address
First Line	:	3400 DATA DR
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-7956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7115 GREENBACK LN FL 1
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95621-5637
Country	:	US
Telephone Number	:	916-536-2442
Fax Number	:	916-536-2598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2014
Last Update Date	:	09/17/2025

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Directions to “ SHAOXING N BARNES PA-C” Practice Location

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