Ava T Shamban MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AVA T SHAMBAN MD INC

Practice address

2021 Santa Monica Blvd
#600E
Santa Monica, CA 90404

Phone

(310) 828-2282

Fax

(310) 828-8504

NPI assigned

Feb 6, 2008

Last updated

Oct 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ava T Shamban, MDNPI 1003922162

Title

Physician/Owner

Phone

(310) 828-2282

Specialties & licenses 1

Addresses

Other names 1

• Laser Institute for Dermatology & European Skin Care Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ava T Shamban, MD

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1003922162
  Medicare reassignment Care Compare group NPD Authorized official
• Soheil Simzar, M.D.

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1780881797
  Medicare reassignment Care Compare group
• Ritu Sonia Batra, MD MPH

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1356441869
  NPD (past)
• Soheil Lahijani, MD

  • Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1992852784
  NPD (past)

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1528246196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2248",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922862248",
            "telephone_number": "310-828-2282",
            "fax_number": "310-828-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "#600E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-828-2282",
            "fax_number": "310-828-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA T SHAMBAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "SHAMBAN",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "310-828-2282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser Institute for Dermatology & European Skin Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David J. Aungst, DPM
• Megan M Auron, LMFT
• Adriana Muniz Austin, N.P.
• Geneva Sharee Austin
• Paul Michael Austin, DMD,MPH
• Monique L. Avedian, PH.D
• Adrianne Ruth Averbukh, LCSW
• Judith B Avery, L.AC.
• Brenda Irene Avila
• Jose Luis Avila

• Dermatology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.