Individual provider Active NPI

Sheilah M Clayton, M.D.

  • Surgery Physician
  • Pasadena, CA
National Provider Identifier
1538265673
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A41360 Issued in CA
Practice address
1060 E Green St
Suite 108
Pasadena, CA 91106-2431
Phone
(626) 791-5559
Fax
(626) 844-9014
NPI assigned
Sep 16, 2006
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A41360 CA Primary

Addresses

Primary practice location

1060 E Green St
Suite 108
Pasadena, CA 91106-2431

Mailing address

1060 E Green St
Suite 108
Pasadena, CA 91106-2431
Phone (626) 791-5559

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000527 CA Practitioner - General Surgery 9436115276 Reassigns benefits to 2 organizations
Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Los AngelesGroup PAC ID 1850296534, shared by 7 NPIs, 395 clinicians

Practice addresses (Care Compare)

12021 S Wilmington Ave
Room 1059
Los Angeles, CA 90059-3019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41360CAMDDentist
A41360CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Aug 24, 2013 Accepting new patients
County of Los Angeles CurrentSince Oct 16, 2011 Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

7601 Imperial Hwy
Downey, CA 90242
Phone (310) 940-8111

12021 Wilmington Ave
Los Angeles, CA 90059
Phone (310) 668-4515

12021 Wilmington Ave
Rm 1059
Los Angeles, CA 90059
Phone (310) 668-5201

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1538265673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E GREEN ST",
            "address_2": "SUITE 108",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062431",
            "telephone_number": "626-791-5559",
            "fax_number": "626-844-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E GREEN ST",
            "address_2": "SUITE 108",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062431",
            "telephone_number": "626-791-5559",
            "fax_number": "626-844-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "SHEILAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A41360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.