Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angie Shammo

Individual provider Nurse Practitioner · NPI 1679110464

Angie Shammo is a Nurse Practitioner in Escondido, California. Qualified in 2019, 7 years ago. Practices with Graybill Medical Group Inc, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
7
Licensed in
CA, MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

225 E 2nd Ave
Escondido, CA 92025-4212
Phone: (760) 291-6777
Fax: (760) 737-7324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3252 Holiday Ct Ste 208, La Jolla, CA 92037-1808 — (858) 247-0242

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95018797 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704328368 (MI)

Record details

NPI number1679110464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 29, 2019
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Graybill Medical Group Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Escondido