Individual provider Active NPI

Arielle Shlobin, PA-C

  • Surgical Physician Assistant
  • Burlingame, CA
National Provider Identifier
1073356762
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA64658 Issued in CA
Practice address
1838 El Camino Real Ste 100
Burlingame, CA 94010-3105
Phone
(650) 692-1475
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA64658 CA Primary

Addresses

Primary practice location

1838 El Camino Real Ste 100
Burlingame, CA 94010-3105

Mailing address

1838 El Camino Real Ste 100
Burlingame, CA 94010-3105
Phone (650) 692-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260120001115 CA Practitioner - Physician Assistant 5890272009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

547 16TH Ave
San Francisco, CA 94118-3508

PO Box
Los Angeles, CA 90088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64658CAMDProsthodontist
PA64658CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. CurrentSince Jan 5, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashlobin694485@hisp.ehr.sutterhealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1073356762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL STE 100",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103105",
            "telephone_number": "650-692-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL STE 100",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103105",
            "telephone_number": "650-692-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLOBIN",
        "first_name": "ARIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA64658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.