| 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 | 14 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 | 33 |
| 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 |