Individual provider Active NPI

Khristina Caldarelli, PA-C

  • Physician Assistant
  • Simi Valley, CA
National Provider Identifier
1811622301
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2525 Erringer Rd
Simi Valley, CA 93065-2352
Phone
(805) 527-1404
Fax
(805) 527-5246
NPI assigned
Jul 19, 2022
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2525 Erringer Rd
Simi Valley, CA 93065-2352

Mailing address

1203 Flynn Rd Unit 160
Camarillo, CA 93012-6203
Phone (805) 804-4168

Other practice location 1

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5707
Phone (805) 379-4574

Other identifiers 1

IdentifierTypeStateIssuer
61776OtherCASTATE LICENSE

Other names 1

  • Khristina Marjan Shad Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://venturaortho.com/
CONNECT URL https://venturaortho.com/

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
I20221021000492 CA Practitioner - Physician Assistant 9133595853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5707
Phone (805) 379-4574

2525 Erringer Rd
Simi Valley, CA 93065-2352
Phone (805) 527-1404

3525 Loma Vista Rd
Ventura, CA 93003-3165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
31.85
Promoting interoperability
98
Improvement activities
40
Cost
82.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Ventura Orthopedics Medical Group, Inc. Past Accepting new patients

Locations

1203 Flynn Rd
Unit 160
Camarillo, CA 93012
Phone (805) 306-9700

3901 Las Posas Rd
Ste 4
Camarillo, CA 93010
Phone (805) 585-5166

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

2525 Erringer Rd
Simi Valley, CA 93065
Phone (805) 527-1404

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 379-4574

3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955

5720 Ralston St
Ste 200
Ventura, CA 93003
Phone (805) 804-4168

3525 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 641-6415

1145 Lindero Canyon Rd
Ste C1
Westlake Village, CA 91362
Phone (818) 865-9800

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1811622301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FLYNN RD UNIT 160",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126203",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ERRINGER RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652352",
            "telephone_number": "805-527-1404",
            "fax_number": "805-527-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 E Thousand Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913605707",
            "country_code": "US",
            "telephone_number": "805-379-4574",
            "fax_number": "805-379-4324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDARELLI",
        "first_name": "KHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "61776",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "2525 Erringer Rd",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930652352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "137 E Thousand Oaks Blvd",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913605707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KHRISTINA",
            "last_name": "SHAD",
            "middle_name": "MARJAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.