Kevin Shibayama, is a
Rehabilitation Practitioner based in Culver City, California. Kevin Shibayama is licensed to practice in * (Not Available) (license number ) and his current practice location is
9808 Venice Blvd Ste 700, Culver City, California. He can be reached at his office (for appointments etc.) via phone at
(310) 945-3350.
NPI number for Kevin Shibayama is 1346771292 and his current mailing address is 9808 Venice Blvd Ste 700, Culver City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346771292.
Healthcare Provider's Profile
Full Name | Kevin Shibayama |
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Gender | Male |
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Speciality | Rehabilitation Practitioner |
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Location | 9808 Venice Blvd Ste 700, Culver City, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346771292
- Provider Enumeration Date: 03/22/2017
- Last Update Date: 12/21/2018
Medical Identifiers
Medical identifiers for Kevin Shibayama such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346771292 | NPI | - | NPPES |
122898 III | Other | CA | CATC III |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 122898 III (California) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Shibayama is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kevin Shibayama, 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 Ph: (310) 945-3350 | Kevin Shibayama, 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 Ph: (310) 945-3350 |
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