LISA SHIBATA (NPI# 1033743984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033743984 |
| Entity Type | Individual |
| Full Name | LISA SHIBATA |
| Practice Address |
1300 W. 7th Street Bridges Unit, 4 East San Pedro CA 90732 |
| Mailing Address |
1300 W 7th St Bridges Unit, 4 East San Pedro CA 90732-3505 |
| Practice Telephone | 3108323311 |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
554692 | CA | Nursing Service Providers |
| Street Address |
1300 W. 7TH STREET BRIDGES UNIT, 4 EAST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952354607 | Richard R. Ellis | Pathology | 1300 W. 7th Street, San Pedro, CA 90732 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1073125480 | Peguy-emmanuelle Alva | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-08-18 |
| 1023654555 | Susan Marie Smith | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-11-19 |
| 1225683345 | Clarita Cayaban Macellven | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-08-06 |
| 1396399044 | Manuel Robert Duran | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-07-31 |
| 1417141169 | Terry Lynn Dunigan | Registered Nurse | 921 S Beacon St, San Pedro, CA 90731-3740 | 2007-09-05 |
| 1609924042 | Mary Morin | Registered Nurse | 150 W 7th St, San Pedro, CA 90731-3320 | 2007-01-08 |
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|---|---|---|---|---|
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.