Shylie Falahatimarvast, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA63344 Issued in CA

Practice address

34213 Pacific Coast Hwy
Dana Point, CA 92629-2875

Phone

(949) 248-4547

NPI assigned

Sep 21, 2023

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

Other names 1

• Shylie Falahati Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advanced Dermatology Inc.

  • Dermatology Physician
  • Dana Point, CA
  • NPI 1336220540
  Medicare reassignment

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1861271603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34213 PACIFIC COAST HWY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292875",
            "telephone_number": "949-248-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34213 PACIFIC COAST HWY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292875",
            "telephone_number": "949-248-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALAHATIMARVAST",
        "first_name": "SHYLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHYLIE",
            "last_name": "FALAHATI",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Suzanne Ruth Engelman, PH.D.
• Eric Baker DDS, MD Inc
• Eric Speare M.D. a Medical Corporation
• Jairo Estrada
• Arthur Cook Ewers, M.D.
• Family Medical Center, Inc.
• Kathleen Farinacci, M.D.
• Mohamed Hassan Fayek, M.D.
• Madeline Grace McClure Fee, PA-C
• Emma Ferreira, LCSW, MPH

• Physician Assistant in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.