Individual provider Active NPI

George Ivaro Shammas

  • Family Nurse Practitioner
  • Sylmar, CA
National Provider Identifier
1336051341
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95041625 Issued in CA
Practice address
11630 Biltmore Ave
Sylmar, CA 91342-6606
Phone
(818) 573-0805
NPI assigned
Sep 22, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95041625 CA Primary

Addresses

Primary practice location

11630 Biltmore Ave
Sylmar, CA 91342-6606

Mailing address

11630 Biltmore Ave
Sylmar, CA 91342-6606
Phone (818) 573-0805

Other practice location 1

955 Carrillo Dr Ste 300
Los Angeles, CA 90048-5475
Phone (424) 258-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1336051341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 BILTMORE AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426606",
            "telephone_number": "818-573-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 BILTMORE AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426606",
            "telephone_number": "818-573-0805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 Carrillo Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485475",
            "country_code": "US",
            "telephone_number": "424-258-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMMAS",
        "first_name": "GEORGE",
        "middle_name": "IVARO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95041625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.