Travis L Shiba, | |
27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355-5908 | |
(616) 253-5851 | |
(661) 253-5852 |
Full Name | Travis L Shiba |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 13 Years |
Location | 27235 Tourney Rd Ste 2500, Santa Clarita, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366731481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | A126214 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
Henry Mayo Newhall Hospital | Valencia, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Regents Of The University Of California | 6406749308 | 31 |
Entity Name | County Of Los Angeles |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Entity Name | The Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619935251 PECOS PAC ID: 6406749308 Enrollment ID: O20040204000971 |
Entity Name | The Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1740634369 PECOS PAC ID: 1355248584 Enrollment ID: O20170512001747 |
Mailing Address | Practice Location Address |
---|---|
Travis L Shiba, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Travis L Shiba, 27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355-5908 Ph: (616) 253-5851 |
Dr. Roger Dean Haring, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 24515 Kansas St, Santa Clarita, CA 91321 Phone: 661-259-8250 |