Individual provider · Type 1 NPI

Latasha Shannon Butler, PA

Medical Physician Assistant · Los Banos, CA

NPI number 1205207362 Active

Practice location

821 Texas Ave
Los Banos, CA 93635-3453

Call (209) 722-4842 Map

Mailing address

4818 Oriole Dr
Chesapeake, VA 23321-1291

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X0110005040 (VA)
Medical Physician Assistant Primary 363AM0700X67575 (CA)

Medical Physician Assistant: Definition to come...

16 other providers at this address

Other medical physician assistant providers in Los Banos

See all in Los Banos →

About NPI 1205207362

Latasha Shannon Butler, PA's National Provider Identifier is 1205207362, issued on Oct 15, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Banos, CA. The record was last updated on Aug 10, 2026.