Evangeline Uy Shitabata, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

40037 Issued in CA

Practice address

23451 Madison St
#170
Torrance, CA 90505-4763

Phone

(310) 375-5437

Fax

(310) 375-7608

NPI assigned

Jul 27, 2005

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376543835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "#170",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-375-5437",
            "fax_number": "310-375-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "#170",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-375-5437",
            "fax_number": "310-375-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHITABATA",
        "first_name": "EVANGELINE",
        "middle_name": "UY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "40037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Shiozaki, D.O.
• Glenda Diane Shirer
• Lara G Shirikjian, D.O.
• Shirlene Jay, M.D., Inc
• Shizuka Erin Shishido, MPAS, PA-C, ATC,CSCS
• Paul K. Shitabata, M.D.
• Sho Izumi, DDS, Inc
• Michael Olufemi Shodiya
• Kent T Shoji, MD
• Pardeep K Shori, DO

• Pediatric Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.