Katie Meiqi Sham, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023

Phone

(805) 621-7651

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksham506304@direct.cshs.org

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.

• Geoffrey Trenkle DO a Professional Medical Corporation

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1992124978
  Medicare reassignment
• A.T. Still University - College for Healthy Communities

  • Student in an Organized Health Care Education/Training Program
  • Santa Maria, CA
  • NPI 1356222020
  NPD
• Citrus Valley Medical Associates, Inc.

  • Family Medicine Physician
  • Norco, CA
  • NPI 1306033709
  NPD (past)
• Employee Medical Consultants PC

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1558099325
  NPD (past)
• Michael R. Gatto MD, Inc.

  • Otolaryngology Physician
  • Palm Springs, CA
  • NPI 1811991847
  NPD (past)
• Samir a Shah MD Professional Corporation

  • Ophthalmology Physician
  • Huntington Beach, CA
  • NPI 1700197365
  NPD (past)

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1316720568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 W OAK AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333444",
            "telephone_number": "702-544-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E BETTERAVIA RD STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547023",
            "telephone_number": "805-621-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAM",
        "first_name": "KATIE",
        "middle_name": "MEIQI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evette Shahara
• Minehli Shahbazian
• Dana J. Shaheen, PA
• Mahnoor Shahzad
• Dina Shaian, PA
• Rivine Qays Shamasha
• John Shamoun
• Manoj Kumar Sharma
• Neha Sharma
• Amara Sharp, ATC

• Physician Assistant in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.