Fatimat O Shotande, MD - Medicare Pediatrics in Playa Vista, CA

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Fatimat O Shotande, MD is a medicare enrolled "Pediatrics" physician in Playa Vista, California. Her current practice location is 12746 W Jefferson Blvd Ste 4000, Playa Vista, California. You can reach out to her office (for appointments etc.) via phone at (424) 315-2202.

Fatimat O Shotande is licensed to practice in California (license number A199907) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023646759.

Contact Information

Fatimat O Shotande, MD
12746 W Jefferson Blvd Ste 4000,
Playa Vista, CA 90094-2885
(424) 315-2202
Not Available

Map and Direction




Physician's Profile

Full NameFatimat O Shotande
GenderFemale
SpecialityPediatrics
Location12746 W Jefferson Blvd Ste 4000, Playa Vista, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023646759
  • Provider Enumeration Date: 03/30/2020
  • Last Update Date: 02/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254868060
  • Enrollment ID: I20241218000652

Medical Identifiers

Medical identifiers for Fatimat O Shotande such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023646759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0101283722 (Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208000000XPediatrics A199907 (California)Primary

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. Fatimat O Shotande allows following entities to bill medicare on her behalf.
Entity NameCarilion Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730123472
PECOS PAC ID: 9830096585
Enrollment ID: O20040107000472

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. Fatimat O Shotande 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
Fatimat O Shotande, MD
4140 W 190th St,
Torrance, CA 90504-5513

Ph: () -		Fatimat O Shotande, MD
12746 W Jefferson Blvd Ste 4000,
Playa Vista, CA 90094-2885

Ph: (424) 315-2202

Reviews and Comments


Pediatrics Doctors in Playa Vista, CA

Dr. Sarah Mahmood, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12746 W Jefferson Blvd # 4000, Playa Vista, CA 90094
Phone: 310-423-4898    
Dr. Sharon Wirawan Jimenez, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 12746 W Jefferson Blvd Ste 4000, Playa Vista, CA 90094
Phone: 424-315-2202    

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.