Individual provider Active NPI

Ellen Shimizu, PA-C

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1811765019
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63131 Issued in CA
Practice address
611 Abbott St Ste 101
Salinas, CA 93901-4391
Phone
(440) 665-3157
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 PA63131 CA Primary

Addresses

Primary practice location

611 Abbott St Ste 101
Salinas, CA 93901-4391

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 242-8301

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
I20240126000415 CA Practitioner - Physician Assistant 7618320656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

1033 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 757-2058

450 E Romie LN
Salinas, CA 93901-4029
Phone (831) 759-3257

611 Abbott St
Salinas, CA 93901-4391
Phone (831) 757-3041

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334
  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
  • Natividad Medical Center Hospital, Salinas, CA, CCN 050248
  • Pacific Coast Post Acute Nursing home, Salinas, CA, CCN 555090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA63131CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Feb 1, 2024 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

611 Abbott St
Ste 101
Salinas, CA 93901
Phone (831) 676-3573

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

Interoperability endpoints

  • Direct secure messaging: eshimizu18993@direct.svmh.com

Organizations & group practices 2

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

Hospital & facility affiliations 6

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1811765019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-242-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ABBOTT ST STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014391",
            "telephone_number": "440-665-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMIZU",
        "first_name": "ELLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-03-11",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.