Ava Shamban a Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AVA SHAMBAN A MEDICAL CORPORATION

Practice address

9915 Santa Monica Blvd
Beverly Hills, CA 90212-1606

Phone

(310) 843-9915

Fax

(310) 843-9925

NPI assigned

Jun 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ava Theresa Shamban, M.D.NPI 1003922162

Title

Doctor/Owner

Phone

(310) 828-2282

Specialties & licenses 1

Addresses

Other names 1

• AVA MD MED SPA Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ava T Shamban, MD

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1003922162
  Medicare reassignment Care Compare group NPD Authorized official
• Christine Marie Nell, NP

  • Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1669783544
  Medicare reassignment Care Compare group NPD
• Prusha Paktinat Connors, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1265880082
  Medicare reassignment Care Compare group
• Karriann Louise Khalil, NP

  • Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1336460773
  NPD (past)
• Shereen Memarian, PA-C

  • Physician Assistant
  • Huntington Beach, CA
  • NPI 1497316178
  NPD (past)

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1093035479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 SANTA MONICA BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121606",
            "telephone_number": "310-843-9915",
            "fax_number": "310-843-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 SANTA MONICA BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121606",
            "telephone_number": "310-843-9915",
            "fax_number": "310-843-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA SHAMBAN A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "SHAMBAN",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "310-828-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVA MD MED SPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• David Austin
• Xiao Huan Jin Austin, AC
• Arielle Nykole Auston, NP-C
• Sourpik Avakian, MD
• Noel Avalos, DPT
• Ruth Avalos
• Avant Anesthesia Associates Inc
• Avant Plastic Surgery Inc

• Dermatology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.