SHELLEY B. KIRBY


Address: 3605 Alamo St, Suite 200, Simi Valley, CA 93063-2186
Phone: 8055788550

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA21394 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NORTHERN CALIFORNIA MEDICARE EK874Z 01
CA SOUTHERN CALIFORNIA MEDICARE EK874Z 01

Office Location

Street Address 3605 ALAMO ST
SUITE 200
City SIMI VALLEY
State CA
Zip Code 93063-2186

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SIMI VALLEY
Zip Code 93063

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Dataset Information

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.

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