Individual provider · Type 1 NPI

Tori Shade

Physician Assistant · San Bernardino, CA

NPI number 1346130184 Active

Practice location

941 Kendall Dr
San Bernardino, CA 92407-4156

Mailing address

941 Kendall Dr Ste C
San Bernardino, CA 92407-4156

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1346130184

Tori Shade's National Provider Identifier is 1346130184, issued on Jul 3, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Bernardino, CA. The record was last updated on Apr 18, 2026.