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MRS. JEANETTE WONG SHIBATA MSPA
NPI 1306031448
Physician Assistant in Colton, CA

Active since September 12, 2007PECOS Enrolled
400 N. PEPPER AVE, COLTON, CA 92324(909) 580-1000 Get Directions Write a Review

NPPES record last updated: June 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jeanette Wong Shibata Mspa NPPES

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

MRS. JEANETTE WONG SHIBATA MSPA (NPI 1306031448) is an individual physician assistant in Colton, California and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306031448
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JEANETTE WONG SHIBATACredential: MSPA
Location Address400 N. PEPPER AVEColton, CA 92324
Mailing Address8548 Quiet Woods StChino, CA 91708-9203 · (626) 318-1186
Phone(909) 580-1000
Sole ProprietorNo
Enumeration DateSeptember 12, 2007
Last NPPES UpdateJune 7, 2010
✔ NPI 1306031448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 N. PEPPER AVE, Colton, CA 92324
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jeanette Wong Shibata Mspa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 8

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

GEESNELL LIM
Family Medicine
400 N. PEPPER AVE, ARMC DEPT. OF FAMILY MEDICINE
COLTON, CA 92324
San Bernardino County (909) 580-3370
DR. MAILAN DINH PHAM M.D.
Psychiatry & Neurology (Psychiatry)
400 N. PEPPER AVE, ARMC BEHAVIORAL HEALTH
COLTON, CA 92324
San Bernardino County (909) 580-3830
COUNTY OF SAN BERNARDINO
Clinic/Center (Mental Health (Including Community Mental Health Center))
400 N. PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 382-3127
ANGIE SEO JUNG FNP
Nurse Practitioner (Family)
400 N. PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1000
JANE P WONG PA-C
Physician Assistant
400 N. PEPPER AVE, SURGERY DEPT 6TH FLOOR
COLTON, CA 92324
San Bernardino County (909) 580-6210
MRS. MAAME SARPONG
Registered Nurse
400 N. PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 689-7492
ARMC CSU
Clinic/Center (Mental Health (Including Community Mental Health Center))
400 N. PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 382-3080
STEVEN JACK BARR M.D.
Anesthesiology
400 N. PEPPER AVE, DEPARTMENT OF ANESTHESIOLOGY
COLTON, CA 92324
San Bernardino County (909) 580-2440

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 Jeanette Shibata's NPI number?

The NPI number for Jeanette Shibata is 1306031448. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Where is Jeanette Shibata located?

Jeanette Shibata practices at 400 N. Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1000.

What is Jeanette Shibata's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jeanette Shibata enrolled in Medicare?

Yes. Jeanette Shibata is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanette Shibata was last updated on June 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.