Darryl Kenji Shibata, MD in Los Angeles, CA

Darryl Kenji Shibata, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Los Angeles, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Usc Care Medical Group Inc and his current practice location is 1441 Eastlake Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-2582.

Darryl Kenji Shibata is licensed to practice in California (license number G54288) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578570958.

Contact Information

	Darryl Kenji Shibata, MD
	1441 Eastlake Ave, Los Angeles, CA 90089-5331
	(323) 442-2582
	(323) 442-2588

Map and Direction

Physician's Profile

Full Name	Darryl Kenji Shibata
Gender	Male
Speciality	Pathology
Experience	41 Years
Location	1441 Eastlake Ave, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Darryl Kenji Shibata attended and graduated from University Of Southern California Keck School Of Medicine in 1983

NPI Data:

NPI Number: 1578570958
Provider Enumeration Date: 08/01/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1759463029
Enrollment ID: I20080124000630

Medical Identifiers

Medical identifiers for Darryl Kenji Shibata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578570958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	G54288 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Keck Hospital Of Usc	Los angeles, CA	Hospital
St Jude Medical Center	Fullerton, CA	Hospital
Hoag Memorial Hospital Presbyterian	Newport beach, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Usc Care Medical Group Inc	0446157747	1142

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Darryl Kenji Shibata allows following entities to bill medicare on his behalf.

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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. Darryl Kenji Shibata is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Darryl Kenji Shibata, MD Po Box 31309, Los Angeles, CA 90033-0309 Ph: (323) 442-2582	Darryl Kenji Shibata, MD 1441 Eastlake Ave, Los Angeles, CA 90089-5331 Ph: (323) 442-2582

Reviews and Comments

Pathology Doctors in Los Angeles, CA

Evan Yung, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-2582
Tiannan Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Rm 216, Los Angeles, CA 90033 Phone: 323-442-2582
Nancy Klipfel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-2582 Fax: 323-442-2588
Lee Harold Hilborne, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285
Peter Tontonoz, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285
Jeffrey Fred Krane, MD PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave # 13-145f, Los Angeles, CA 90095 Phone: 310-206-8199 Fax: 310-267-2058
Dr. Bahram Parsa, M.D., PH D. Pathology Medicare: Medicare Enrolled Practice Location: 100 Ucla Medical Plz, Suite 245, Los Angeles, CA 90024 Phone: 310-208-0099 Fax: 310-208-0963

Darryl Kenji Shibata, MD - Medicare Pathology in Los Angeles, CA