Individual provider Active NPI

Caitlin Shureb, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1649165093
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67604 Issued in CA
Practice address
1127 Wilshire Blvd Ste 600
Los Angeles, CA 90017-3907
Phone
(213) 278-0021
NPI assigned
Jun 9, 2025
Last updated
Feb 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012898 MI
Physician Assistant 363A00000X PA67604 CA Primary

Addresses

Primary practice location

1127 Wilshire Blvd Ste 600
Los Angeles, CA 90017-3907

Mailing address

1127 Wilshire Blvd Ste 600
Los Angeles, CA 90017-3907

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202001056 CA Practitioner - Physician Assistant 4688152556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10945 Bluffside Dr
Apt 221
Studio City, CA 91604-3331

136 N San Mateo Dr
San Mateo, CA 94401-2777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA67604CAMDPhysician Assistant
5601012898MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rachael Cayce, M.D. Inc., a Professional Corporation CurrentSince Feb 1, 2026 Accepting new patients
Hazel Park Urgent Care PLLC CurrentSince Jun 15, 2025 Accepting new patients
Csi Medical Group CurrentSince Feb 1, 2026 Accepting new patients

Locations

1127 Wilshire Blvd
Ste 600
Los Angeles, CA 90017
Phone (213) 250-7735

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

348 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 268-2566

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": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1649165093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173907",
            "telephone_number": "213-278-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUREB",
        "first_name": "CAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012898",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.