Emily Sun Shibata, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5928 Issued in CA

Practice address

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414

Phone

(323) 268-5000

NPI assigned

May 19, 2020

Last updated

Jun 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Roads Foundation, IncGroup PAC ID 2961722558, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: emily.shibata.1@4399.direct.athenahealth.com
• Direct secure messaging: emily.shibata.2@4399.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD

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.

• The Roads Foundation, Inc

  dba ROADS Community Clinic - East Long Beach

  • Clinic/Center
  • Long Beach, CA
  • NPI 1669812392
  Medicare reassignment Care Compare group
• Jeffrey Demian Inc

  dba Anywhere Foot and Ankle Care

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
  • NPI 1306339759
  Medicare reassignment NPD
• Upperline Healthcare California PC

  • Podiatric Clinic/Center
  • Orange, CA
  • NPI 1225663826
  Medicare reassignment NPD
• E. Shibata Podiatry Corp.

  dba Pacific Sun Podiatry

  • Podiatric Clinic/Center
  • Huntington Beach, CA
  • NPI 1578342788
  NPD Authorized official
• The Roads Foundation, Inc.

  dba ROADS Community Care Clinic

  • Community Health Clinic/Center
  • Compton, CA
  • NPI 1508278359
  NPD
• Upperline Healthcare California, PC

  • Foot & Ankle Surgery Podiatrist
  • La Mesa, CA
  • NPI 1093399412
  NPD
• Orange County Global Medical Center, Inc

  dba Orange County Global Medical Center

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1982697678
  NPD (past)

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1700409216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16222 TYPHOON LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492542",
            "telephone_number": "714-393-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332414",
            "telephone_number": "323-268-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBATA",
        "first_name": "EMILY",
        "middle_name": "SUN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Shiau, NP
• Karen M Shiba, P.T.
• Jean Shibasaki, NP
• Alexander Shibata, LCSW
• Darryl Kenji Shibata, MD
• Jeffrey Shibata
• Seiji Bruce Shibata, M.D. PH.D.
• Vivian Phan Shibayama, O.D.
• Justin Shibel, ATC
• Shidban Dialysis Access Inc

• Podiatrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.