Clorinda N T Shores, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16549 Issued in CA

Practice address

255 N Gilbert St BLDG B4
Hemet, CA 92543-4078

Phone

(951) 652-0060

NPI assigned

May 25, 2007

Last updated

Mar 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abid Hussain MD PCGroup PAC ID 8921261298, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: clorinda.shorespac.p25@direct.kmsm.nextgenshare.com

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.

• Abid Hussain MD PC

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1346506037
  Medicare reassignment Care Compare group
• A & M MD PC

  • Nephrology Physician
  • Hemet, CA
  • NPI 1245911403
  NPD

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1689885931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925460788",
            "telephone_number": "951-652-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N GILBERT ST BLDG B4",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434078",
            "telephone_number": "951-652-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Florida Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925448637",
            "country_code": "US",
            "telephone_number": "951-929-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORES",
        "first_name": "CLORINDA",
        "middle_name": "N T",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA16549",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Shartzer
• Erika Shaw, MA, APCC
• Steven E Sheley, RRW
• Olivia Shelton
• Lu-Hsun Shih
• Shova Healthcare Vna, LLC (Inland Empire Home Health & Hospice)
• Jessica Shuen, M.D.
• Derek Alan Shuman, DC
• Jessica Sibole
• Jessica Sicairos

• Physician Assistant in Hemet, CA
• Providers in Hemet, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.