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

Q: 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.

Q: What is Ava Shamban's specialty?

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

Q: 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.

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: October 25, 2026.

On this page

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

Phone(310) 828-2282

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Ava Shamban reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ava T Shamban MD Inc

Same address

Dermatology

2021 SANTA MONICA BLVD, #600E
Santa Monica, CA 90404

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1528246196 (310) 828-2282

Ava Shamban A Medical Corporation

4.6 mi

Dermatology

9915 SANTA MONICA BLVD
Beverly Hills, CA 90212

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1093035479 (310) 843-9915

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 · Sep 30, 2026

CLIA Number05D0864862

Laboratory TypePhysician Office

Certificate Effective DateApril 18, 2024

Certificate Expiration DateSeptember 30, 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

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

102 services72 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

78 services43 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

66 services40 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

34 services29 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

26 services26 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

22 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services11 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

Quality

Improvement Activities

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.

BELLA DOSHI

Dentist

2021 SANTA MONICA BLVD, SUITE 500E
SANTA MONICA, CA 90404

Los Angeles County (310) 828-3522

CRISTINA SHALLENBERGER N.P.

Nurse Practitioner (Family)

2021 SANTA MONICA BLVD, SUITE 600 EAST
SANTA MONICA, CA 90404

Los Angeles County (310) 828-2282

DR. JOAN KAREN FELTMAN M.D.

Internal Medicine

2021 SANTA MONICA BLVD, SUITE 710
SANTA MONICA, CA 90404

Los Angeles County (310) 315-0131

DR. THOMAS ALAN HANSCOM MD

Ophthalmology

2021 SANTA MONICA BLVD, SUITE # 720E
SANTA MONICA, CA 90404

Los Angeles County (310) 829-3303

KIMBERLY HAGEN TILLAR R.N.

Registered Nurse (Oncology)

2021 SANTA MONICA BLVD, SUIT 400E
SANTA MONICA, CA 90404

Los Angeles County (310) 453-5654

LAURIE REYNARD M.D.

Specialist

2021 SANTA MONICA BLVD, STE 730E
SANTA MONICA, CA 90404

Los Angeles County (310) 453-1266

CAROLINE MARIE COLIN M.D.

Obstetrics & Gynecology

2021 SANTA MONICA BLVD, SUITE 304E
SANTA MONICA, CA 90404

Los Angeles County (310) 829-0080

SANTA MONICA PREVENTIVE CARDIOLOGY MEDICAL GROUP, INC

Internal Medicine (Cardiovascular Disease)

2021 SANTA MONICA BLVD, SUITE 212E
SANTA MONICA, CA 90404

Los Angeles County (310) 829-4327

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.

Which organizations bill Medicare for Ava Shamban's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ava Shamban reassigns Medicare benefits to 2 organizations: Ava T Shamban MD Inc (Santa Monica, CA) and Ava Shamban A Medical Corporation (Beverly Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ava Shamban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.