MEDICARE: MS. ALLISON SHEA 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	PA59421	CA
2	363A00000X	Physician Assistant	015268-1	NY

General Provider Information

NPI Number	:	1053697557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALLISON SHEA PA-C

Provider Business Mailing Address
First Line	:	3905 STATE ST STE 3
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-5101
Country	:	US
Telephone Number	:	805-687-8378
Fax Number	:

Provider Business Practice Location Address
First Line	:	3905 STATE ST STE 3
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-5101
Country	:	US
Telephone Number	:	805-687-8378
Fax Number	:

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

Provider Enumeration Date	:	10/27/2011
Last Update Date	:	04/08/2026

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