Ava T Shamban, MD - Medicare Dermatology in Santa Monica, CA

Ava T Shamban, MD is a medicare enrolled "Dermatology" physician in Santa Monica, California. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1982 and has 42 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Ava Shamban A Medical Corporation, Ava T Shamban Md Inc and her current practice location is 2021 Santa Monica Blvd, Suite 600e, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 828-2282.

Ava T Shamban is licensed to practice in California (license number G50969) 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 1003922162.

Contact Information

Ava T Shamban, MD
2021 Santa Monica Blvd, Suite 600e,
Santa Monica, CA 90404
(310) 828-2282
(310) 828-8504

Map and Direction




Physician's Profile

Full NameAva T Shamban
GenderFemale
SpecialityDermatology
Experience42 Years
Location2021 Santa Monica Blvd, Santa Monica, 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:
  • Ava T Shamban attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1982
  NPI Data:
  • NPI Number: 1003922162
  • Provider Enumeration Date: 08/22/2006
  • Last Update Date: 05/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082747548
  • Enrollment ID: I20100804000433

Medical Identifiers

Medical identifiers for Ava T Shamban such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003922162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207NS0135XDermatology - Procedural Dermatology G50969 (California)Secondary
207N00000XDermatology G50969 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Saint John's Health CenterSanta monica, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ava Shamban A Medical Corporation56988908462
Ava T Shamban Md Inc99311368922

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. Ava T Shamban allows following entities to bill medicare on her behalf.
Entity NameAva T Shamban Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528246196
PECOS PAC ID: 9931136892
Enrollment ID: O20050721000891
Entity NameAva Shamban A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093035479
PECOS PAC ID: 5698890846
Enrollment ID: O20100913000309

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. Ava T Shamban 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
Ava T Shamban, MD
2021 Santa Monica Blvd Ste 600e,
Santa Monica, CA 90404-2166

Ph: (310) 828-2282
Ava T Shamban, MD
2021 Santa Monica Blvd, Suite 600e,
Santa Monica, CA 90404

Ph: (310) 828-2282

Reviews and Comments


Dermatology Doctors in Santa Monica, CA

Gregory J Colman, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404
Phone: 310-829-4484    Fax: 310-829-4481
Dr. Hrak Ray Jalian, M.D.
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Practice Location: 2020 Santa Monica Blvd Ste 570, Santa Monica, CA 90404
Phone: 310-917-3376    
Sourabh Arora, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2222 Santa Monica Blvd Ste 105, Santa Monica, CA 90404
Phone: 213-214-8738    
Mr. Paul Lawrence Smith, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404
Phone: 310-829-4484    Fax: 310-829-4481
Dr. Stefani T Kappel, M.D,
Dermatology
Medicare: Medicare Enrolled
Practice Location: 2020 Santa Monica Blvd, 510, Santa Monica, CA 90404
Phone: 310-917-3376    Fax: 310-582-6302
Karyn L Grossman, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 2001 Santa Monica Blvd Ste 1250w, Santa Monica, CA 90404
Phone: 310-998-0040    

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.