SHELLEY B. KIRBY (NPI# 1962706341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962706341 |
Entity Type | Individual |
Full Name | SHELLEY B. KIRBY |
Credential | PA-C |
Practice Address |
3605 Alamo St Suite 200 Simi Valley CA 93063-2186 |
Mailing Address |
6815 Noble Ave Van Nuys CA 91405-3796 |
Practice Telephone | 8055788550 |
Practice Fax Number | 8055788555 |
Mailing Telephone | 8189016600 |
Mailing Fax Number | 8189977826 |
Enumeration Date | 2010-12-29 |
Last Update Date | 2011-03-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21394 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NORTHERN CALIFORNIA MEDICARE | EK874Z | 01 |
CA | SOUTHERN CALIFORNIA MEDICARE | EK874Z | 01 |
Street Address |
3605 ALAMO ST SUITE 200 |
City | SIMI VALLEY |
State | CA |
Zip Code | 93063-2186 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003809187 | Denise Lu-gee Hom | Family Medicine | 3605 Alamo St, Suite 100, Simi Valley, CA 93063-2186 | 2005-08-24 |
1932506326 | Armond Aghakhani | Dentist | 3605 Alamo St, 310, Simi Valley, CA 93063-2186 | 2014-12-01 |
1780009498 | Mark Thompson | Physical Therapy Assistant | 3605 Alamo St, Ste 100, Simi Valley, CA 93063-2186 | 2014-03-04 |
1346582665 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 3605 Alamo St, Simi Valley, CA 93063-2186 | 2013-03-25 |
1619203247 | Navreet Raju Kamdar | Dentist | 3605 Alamo St, Suite 310, Simi Valley, CA 93063-2186 | 2009-11-02 |
1083879969 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 3605 Alamo St, Suite 100, Simi Valley, CA 93063-2186 | 2008-07-21 |
1336132422 | Catherine Mcclain Phillips | Physician Assistant | 3605 Alamo St, Ste 100, Simi Valley, CA 93063-2186 | 2005-08-24 |
1356334411 | Robert John Brusky | Family Medicine | 3605 Alamo St, Simi Valley, CA 93063-2186 | 2005-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
1467925727 | Shelly Marie Spencer | Marriage & Family Therapist | 1985 Yosemite Ave Ste # 230, Simi Valley, CA 93063 | 2019-01-09 |
1245739150 | Hartounian Dental Group Inc. | Dentist | 4210 E Los Angeles Ave Ste F, Simi Valley, CA 93063 | 2018-02-06 |
1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
1598291064 | Golden Translating Services Inc | Community/Behavioral Health | 2112 Ralston Ave, Simi Valley, CA 93063 | 2017-05-03 |
1447793799 | Kenneth Miles Belden | Social Worker | 3030 Omega Avenue, Simi Valley, CA 93063 | 2016-11-18 |
1164979332 | Megan Zigler | Specialist/Technologist | 2127 Atwater Ave, Simi Valley, CA 93063 | 2016-09-06 |
1700273521 | Jean Barker | Pharmacist | 5984 Yana Court, Simi Valley, CA 93063 | 2015-04-20 |
1992197248 | Pamela A. Riss | Marriage & Family Therapist | 2775 Tapo Street, Suite 204, Simi Valley, CA 93063 | 2015-02-24 |
1245580729 | Mary Aroyan | Marriage & Family Therapist | 3655 Alamo St Ste 202, Simi Valley, CA 93063 | 2012-09-12 |
Find all providers in zip 93063 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245776244 | Jennifer Lauren Lane | Physician Assistant | 2876 Sycamore Dr, Simi Valley, CA 93065-1530 | 2017-01-13 |
1265726574 | Hillary Duncan Runnels | Physician Assistant | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | 2011-06-03 |
1205096435 | Elizabeth Klahr Eldakar | Physician Assistant | 1227 E Los Angeles Ave, Simi Valley, CA 93065-2871 | 2008-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
Find all providers with the same taxonomy |
City | SIMI VALLEY |
Zip Code | 93063 |
Please comment or provide details below to improve the information on SHELLEY B. KIRBY.
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.