| Clayton T Hinshaw, MD | |
|
2925 Sycamore Dr Ste 204, Simi Valley, CA 93065-1208 | |
| (805) 409-9199 | |
| (805) 416-0116 |
| Full Name | Clayton T Hinshaw |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 31 Years |
| Location | 2925 Sycamore Dr Ste 204, Simi Valley, 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 |
|---|---|---|---|
| 1326043456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | A055224 (California) | Primary |
| 207N00000X | Dermatology | A055224 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Simi Valley | Simi valley, CA | Hospital |
| Entity Name | Dale Alvin Kooistra |
|---|---|
| Entity Type | Practitioner - Dermatology |
| Entity Identifiers | NPI Number: 1831182971 PECOS PAC ID: 1658565015 Enrollment ID: I20101029000319 |
| Entity Name | Valley Dermatologic Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699770719 PECOS PAC ID: 8527072651 Enrollment ID: O20060127000630 |
| Entity Name | Simi Dermatologic Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144225269 PECOS PAC ID: 5193739332 Enrollment ID: O20060306000814 |
| Entity Name | Daphne I Panagotacos Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295999274 PECOS PAC ID: 6406910777 Enrollment ID: O20090131000059 |
| Entity Name | Clayton Hinshaw Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033988274 PECOS PAC ID: 4284163668 Enrollment ID: O20250130000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton T Hinshaw, MD 2925 Sycamore Dr Ste 204, Simi Valley, CA 93065-1208 Ph: (805) 409-9199 | Clayton T Hinshaw, MD 2925 Sycamore Dr Ste 204, Simi Valley, CA 93065-1208 Ph: (805) 409-9199 |
Lisa Noriye Oki, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2925 Sycamore Dr, Suite 101, Simi Valley, CA 93065 Phone: 805-520-6430 Fax: 805-520-5955 |