MEDICARE: SHANNA M MARCHESI PA

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	22450	CA

General Provider Information

NPI Number	:	1275703662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNA M MARCHESI PA

Provider Business Mailing Address
First Line	:	PO BOX 255228
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95865-5228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5406 SUNRISE BLVD
Second Line	:
City	:	CITRUS HTS
State	:	CA
Zip	:	95610-7853
Country	:	US
Telephone Number	:	800-972-5547
Fax Number	:

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

Provider Enumeration Date	:	03/03/2008
Last Update Date	:	05/20/2026

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Directions to “ SHANNA M MARCHESI PA” Practice Location

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