Ms Kaili Ji Shumilak, DO - Medicare Family Practice in Northridge, CA

  1. Home
  2. Family Medicine
  3. CA
  4. Northridge
Ms Kaili Ji Shumilak, DO is a medicare enrolled "Family Medicine" physician in Northridge, California. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Family Health Centers Of San Diego, Inc and her current practice location is 18406 Roscoe Blvd, Northridge, California. You can reach out to her office (for appointments etc.) via phone at (818) 993-4054.

Ms Kaili Ji Shumilak is licensed to practice in California (license number 12796) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831489855.

Contact Information

Ms Kaili Ji Shumilak, DO
18406 Roscoe Blvd,
Northridge, CA 91325-4107
(818) 993-4054
Not Available

Map and Direction




Physician's Profile

Full NameMs Kaili Ji Shumilak
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location18406 Roscoe Blvd, Northridge, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kaili Ji Shumilak graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1831489855
  • Provider Enumeration Date: 04/11/2011
  • Last Update Date: 04/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476773672
  • Enrollment ID: I20141010001898

Medical Identifiers

Medical identifiers for Ms Kaili Ji Shumilak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831489855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 12796 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Health Centers Of San Diego, Inc3476446378228

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. Ms Kaili Ji Shumilak allows following entities to bill medicare on her behalf.
Entity NameFamily Health Centers Of San Diego, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923

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. Ms Kaili Ji Shumilak 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 AddressPractice Location Address
Ms Kaili Ji Shumilak, DO
823 Gateway Center Way,
San Diego, CA 92102-4541

Ph: (619) 906-4623		Ms Kaili Ji Shumilak, DO
18406 Roscoe Blvd,
Northridge, CA 91325-4107

Ph: (818) 993-4054

Reviews and Comments


Family Medicine Doctors in Northridge, CA

Dr. Kenneth B Epstein, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8510 Balboa Blvd, Ste 150, Northridge, CA 91325
Phone: 818-637-2000    Fax: 818-654-3417
Rebecca Cho,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18406 Roscoe Blvd, Northridge, CA 91325
Phone: 818-993-4054    
Vahe Mooradian, MD.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18460 Roscoe Blvd, Northridge, CA 91325
Phone: 818-734-3625    
Richard V Stringham, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18406 Roscoe Blvd, Northridge Family Practice Medical Group Inc, Northridge, CA 91325
Phone: 818-885-5480    Fax: 818-993-1917
Dr. Arthur Alain Karaguezian, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18546 Roscoe Blvd Ste 304, Northridge, CA 91324
Phone: 818-772-7100    
Hwe-seung Lucy Whang Lee, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18406 Roscoe Blvd, Northridge Family Practice Medical Group Inc, Northridge, CA 91325
Phone: 818-885-8500    Fax: 818-727-0793
Rahul Ahuja, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18406 Roscoe Blvd Fl 3, Northridge, CA 91325
Phone: 818-885-5480    Fax: 818-993-1917

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.