Shane Futchko, PA-C
NPI 1639357676 · Medical Physician Assistant · San Diego, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Futchko, PA-C is a Medical Physician Assistant provider in San Diego, CA (NPI 1639357676).
Provider details
- NPI number
- 1639357676
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA21690 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-01
- Last updated
- 2012-07-27
Frequently asked questions
- What is Shane Futchko's NPI number?
- Shane Futchko's National Provider Identifier (NPI) is 1639357676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Futchko's specialty?
- Shane Futchko is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shane Futchko located?
- Shane Futchko's practice location on file with NPPES is 3930 4th Ave, San Diego, CA 92103-3119.
- What is Shane Futchko's phone number?
- The practice phone number listed in the NPPES registry for Shane Futchko is (352) 219-3271.
- Does Shane Futchko accept Medicare?
- Shane Futchko is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Futchko's NPI active?
- Yes — Shane Futchko's NPI (1639357676) is active in the NPPES registry as of the last update on 2012-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.