Paul K. Shitabata, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G67270 Issued in CA

Practice address

3870 Del Amo Blvd
Unit 507
Torrance, CA 90503-2165

Phone

(310) 561-8503

Fax

(310) 347-4381

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

PathologyAlso: Dermatology

Education

University of Hawaii John a. Burns School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Paul K. Shitabata, M.D., Inc

  • Clinical Medical Laboratory
  • Torrance, CA
  • NPI 1205004280
  NPD Authorized official
• Affiliated Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
  • NPI 1730119553

  Dermatopathology

  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1932145133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 DEL AMO BLVD",
            "address_2": "UNIT 507",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032165",
            "telephone_number": "310-561-8503",
            "fax_number": "310-347-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 DEL AMO BLVD",
            "address_2": "UNIT 507",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032165",
            "telephone_number": "310-561-8503",
            "fax_number": "310-347-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHITABATA",
        "first_name": "PAUL",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "G67270",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G67270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G672700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenda Diane Shirer
• Lara G Shirikjian, D.O.
• Shirlene Jay, M.D., Inc
• Shizuka Erin Shishido, MPAS, PA-C, ATC,CSCS
• Evangeline Uy Shitabata, DDS
• Sho Izumi, DDS, Inc
• Michael Olufemi Shodiya
• Kent T Shoji, MD
• Pardeep K Shori, DO
• Andrew Shover

• Anatomic Pathology & Clinical Pathology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.