AVA T SHAMBAN MD
NPI 1003922162
Dermatology in Santa Monica, CA

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2021 SANTA MONICA BLVD, SUITE 600E, SANTA MONICA, CA 90404(310) 828-2282(310) 828-8504 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ava T Shamban Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVA T SHAMBAN MD (NPI 1003922162) is an individual dermatology provider in Santa Monica, California, licensed in California (G50969) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1982).

NPPES Registry Identity

NPI1003922162
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameAVA T SHAMBANCredential: MD
Location Address2021 SANTA MONICA BLVD, SUITE 600ESanta Monica, CA 90404
Mailing Address2021 Santa Monica Blvd Ste 600eSanta Monica, CA 90404-2166 · (310) 828-2282 · Fax (310) 828-8504
Fax(310) 828-8504
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1982
Enumeration DateAugust 22, 2006
Last NPPES UpdateMay 3, 2022
NPPES CertifiedMay 3, 2022
NPI 1003922162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G50969
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License G50969 (CA)
2021 SANTA MONICA BLVD, Santa Monica, CA 90404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ava T Shamban Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082747548
PECOS Enrollment IDI20100804000433
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0864862

Ava T Shamban MD Inc · Santa Monica, CA
Expired · Jul 31, 2026
CLIA Number05D0864862
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Ava T. Shamban MD
Laboratory Phone(310) 828-2282
Laboratory LocationAva T Shamban MD Inc2021 Santa Monica Blvd Ste 600-E, Santa Monica, CA 90404
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
667 services196 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
438 services96 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
247 services124 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
227 services129 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
132 services57 patients
Destruction of skin growth, 15 or more growths 17111
"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.
109 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2021 SANTA MONICA BLVD, SUITE 500E
SANTA MONICA, CA 90404
Nurse Practitioner (Family)
2021 SANTA MONICA BLVD, SUITE 600 EAST
SANTA MONICA, CA 90404
Internal Medicine
2021 SANTA MONICA BLVD, SUITE 710
SANTA MONICA, CA 90404
Ophthalmology
2021 SANTA MONICA BLVD, SUITE # 720E
SANTA MONICA, CA 90404
Registered Nurse (Oncology)
2021 SANTA MONICA BLVD, SUIT 400E
SANTA MONICA, CA 90404
Specialist
2021 SANTA MONICA BLVD, STE 730E
SANTA MONICA, CA 90404
Obstetrics & Gynecology
2021 SANTA MONICA BLVD, SUITE 304E
SANTA MONICA, CA 90404
Internal Medicine (Cardiovascular Disease)
2021 SANTA MONICA BLVD, SUITE 212E
SANTA MONICA, CA 90404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ava Shamban's NPI number?

The NPI number for Ava Shamban is 1003922162. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Ava Shamban located?

Ava Shamban practices at 2021 Santa Monica Blvd Suite 600E, Santa Monica, CA 90404. The listed phone number is (310) 828-2282.

What is Ava Shamban's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Ava Shamban enrolled in Medicare?

Yes. Ava Shamban is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ava Shamban was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.