Shizuka Erin Shishido, MPAS, PA-C, ATC,CSCS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21497 Issued in CA

Practice address

20911 Earl St
#470
Torrance, CA 90503-4352

Phone

(310) 372-0700

NPI assigned

Jun 27, 2006

Last updated

Jul 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steven E Davis MD IncGroup PAC ID 4688691512, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eshishido@sdavis.mdlogic.direct-ci.com

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

• Steven E Davis MD Inc

  • Otolaryngology Physician
  • Torrance, CA
  • NPI 1710907571
  Medicare reassignment Care Compare group
• Providence Health System - Southern California

  • Psychiatric Hospital Unit
  • San Pedro, CA
  • NPI 1154349371
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1083641872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL ST",
            "address_2": "#470",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034352",
            "telephone_number": "310-372-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST",
            "address_2": "#470",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034352",
            "telephone_number": "310-372-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISHIDO",
        "first_name": "SHIZUKA",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "MPAS, PA-C, ATC,CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21497",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Mei Shiotsu, M.A., CCC-SLP
• Kenneth Shiozaki, D.O.
• Glenda Diane Shirer
• Lara G Shirikjian, D.O.
• Shirlene Jay, M.D., Inc
• Evangeline Uy Shitabata, DDS
• Paul K. Shitabata, M.D.
• Sho Izumi, DDS, Inc
• Michael Olufemi Shodiya
• Kent T Shoji, MD

• Physician Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.