MEDICARE: MRS. PAMELA L SUNSHINE 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	6296063-1206	UT
2	363AM0700X	Medical Physician Assistant	6296063-1206	UT

General Provider Information

NPI Number	:	1396830402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAMELA L SUNSHINE PA-C

Provider Business Mailing Address
First Line	:	2965 W 3500 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84119-3602
Country	:	US
Telephone Number	:	801-965-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	8178 GORGOZA PINES RD
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84098-4607
Country	:	US
Telephone Number	:	801-747-7244
Fax Number	:

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	11/24/2025

Similar Medicare Providers

1518916782 — RICHARD W HENDERSHOT MD
Practice Location Address:

8178 GORGOZA PINES RD UNIT 8H
PARK CITY, UT
84098-4607

Practice Phone: 801-965-3600
Practice Fax:

1275680100 — MARGARET AFTON JAHRIES APRN
Practice Location Address:

8178 GORGOZA PINES RD , SUITE H
PARK CITY, UT
84098-4607

Practice Phone: 435-604-0259
Practice Fax: 435-604-0260

1174959431 — WELLNESS CENTER
Practice Location Address:

8178 GORGOZA PINES RD , SUITE H
PARK CITY, UT
84098-4607

Practice Phone: 435-604-0259
Practice Fax: 435-604-0260

1780651810 — EFTEKHARI, DDS, INC ( UNITED DENTAL CARE )
Practice Location Address:

3909 SEPULVEDA BLVD
CULVER CITY, CA
90230-4607

Practice Phone: 310-390-6000
Practice Fax:

1316915382 — DR. ABBAS EFTEKHARI D. D. S.
Practice Location Address:

3909 SEPULVEDA BLVD
CULVER CITY, CA
90230-4607

Practice Phone: 310-390-6000
Practice Fax:

1033208897 — MOHAMMAD REZA S ASHRAF
Practice Location Address:

1420 20TH ST
GRANITE CITY, IL
62040-4607

Practice Phone: 618-877-8200
Practice Fax: 618-877-8206

Directions to “ MRS. PAMELA L SUNSHINE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.