Jean Shibasaki, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13860 Issued in CA

Practice address

1739 Griffin Ave BLDG 50
Los Angeles, CA 90031-3071

Phone

(323) 226-5086

Fax

(323) 226-5134

NPI assigned

Nov 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1245485606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-3665",
            "fax_number": "323-226-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 GRIFFIN AVE BLDG 50",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900313071",
            "telephone_number": "323-226-5086",
            "fax_number": "323-226-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBASAKI",
        "first_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Job Matthew Shiach
• Andrew Shiang
• Cheiny Shiau, PA-C
• Josephine Shiau, NP
• Karen M Shiba, P.T.
• Alexander Shibata, LCSW
• Darryl Kenji Shibata, MD
• Emily Sun Shibata, DPM
• Jeffrey Shibata
• Seiji Bruce Shibata, M.D. PH.D.

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.