SHAMIM MOHAMED REMTULLA PA-C
NPI 1053614115
Physician Assistant - Medical in Culver City, CA

Active since December 13, 2010PECOS EnrolledAccepts Medicare Assignment
8900 VENICE BLVD STE 109, CULVER CITY, CA 90232(424) 282-5696 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2022, Feb 25, 2022 (2 updates tracked since 2022).

About Shamim Mohamed Remtulla Pa-c NPPES

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

SHAMIM MOHAMED REMTULLA PA-C (NPI 1053614115) is an individual medical provider in Culver City, California, licensed in California (PA21180) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053614115
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHAMIM MOHAMED REMTULLACredential: PA-C
Location Address8900 VENICE BLVD STE 109Culver City, CA 90232-2361
Mailing Address3736 Mclaughlin AveLos Angeles, CA 90066-3304
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 13, 2010
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
NPI 1053614115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA21180
8900 VENICE BLVD STE 109, Culver City, CA 90232

Other Names 1

Former Name (1)Shamim Patel Pa-c

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

Shamim Mohamed Remtulla Pa-c 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 ID840431235
PECOS Enrollment IDI20220520000499
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.

Other Providers at the Same Location NPPES

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

Non-Pharmacy Dispensing Site
8900 VENICE BLVD STE 109
CULVER CITY, CA 90232

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 Shamim Remtulla's NPI number?

The NPI number for Shamim Remtulla is 1053614115. It was assigned to this individual provider in the NPPES registry on December 13, 2010. The provider is also known as Shamim Patel Pa-C.

Where is Shamim Remtulla located?

Shamim Remtulla practices at 8900 Venice Blvd Ste 109, Culver City, CA 90232. The listed phone number is (424) 282-5696.

What is Shamim Remtulla's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shamim Remtulla enrolled in Medicare?

Yes. Shamim Remtulla 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 Shamim Remtulla was last updated on July 27, 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.