Active NPI
Kathy Shinozaki, P.A.
- Physician Assistant
- Glendale, CA
National Provider Identifier
1467769489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21105
- Practice address
- 801 S Chevy Chase Dr
#102
Glendale, CA 91205-4431 - Phone
- (818) 265-2242
- Fax
- (818) 265-2241
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21105 | CA | Primary |
Addresses
Primary practice location
801 S Chevy Chase Dr
#102
Glendale, CA 91205-4431
Mailing address
801 S Chevy Chase Dr
#20
Glendale, CA 91205-4431
Phone (818) 265-2242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- kathy.shinozaki@506682551828484.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1467769489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S CHEVY CHASE DR",
"address_2": "#20",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912054431",
"telephone_number": "818-265-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S CHEVY CHASE DR",
"address_2": "#102",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912054431",
"telephone_number": "818-265-2242",
"fax_number": "818-265-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINOZAKI",
"first_name": "KATHY",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.