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AVA T SHAMBAN MD INC
NPI 1528246196
Dermatology in Santa Monica, CA

Active since February 06, 2008
2021 SANTA MONICA BLVD, #600E, SANTA MONICA, CA 90404(310) 828-2282(310) 828-8504 Get Directions Write a Review

NPPES record last updated: October 13, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ava T Shamban Md Inc NPPES

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

AVA T SHAMBAN MD INC (NPI 1528246196), doing business as Laser Institute For Dermatology & European Skin Care, is a healthcare organization registered as a dermatology in Santa Monica, California and active in the NPI registry since February 2008. The organization lists Ava T Shamban, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1528246196
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAVA T SHAMBAN MD INC
Location Address2021 SANTA MONICA BLVD, #600ESanta Monica, CA 90404
Mailing AddressPo Box 2248Yucca Valley, CA 92286-2248 · (310) 828-2282 · Fax (310) 828-8504
Phone(310) 828-2282
Fax(310) 828-8504
Organization SubpartNo
Authorized OfficialAva T ShambanPhysician/owner · (310) 828-2282
Enumeration DateFebruary 6, 2008
Last NPPES UpdateOctober 13, 2010
✔ NPI 1528246196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
2021 SANTA MONICA BLVD, Santa Monica, CA 90404
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Other Names 1

Former Legal Business NameLaser Institute For Dermatology & European Skin Care

Other Identifiers 5

Medicare UPINE57567CA
Medicare PINW13960CA
Medicare PINE57567CA
Medicare UPINW13960CA
Medicare PINWG50969DCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ava T Shamban Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ava T Shamban MD Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Soheil Simzar, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1780881797
2021 SANTA MONICA BLVD SUITE 600E
Santa Monica, CA 90404
(310) 828-2282
✔ PECOS✔ Accepts MedicareSame address
Ava Shamban, MD
Dermatology
NPI 1003922162
2021 SANTA MONICA BLVD SUITE 600E
Santa Monica, CA 90404
(310) 828-2282
✔ PECOS✔ Accepts MedicareSame address

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

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 T Shamban MD Inc's NPI number?

The NPI number for Ava T Shamban MD Inc is 1528246196. It was assigned to this organization in the NPPES registry on February 6, 2008. The provider was formerly known as Laser Institute For Dermatology & European Skin Care.

Where is Ava T Shamban MD Inc located?

Ava T Shamban MD Inc is located at 2021 Santa Monica Blvd #600e, Santa Monica, CA 90404. The listed phone number is (310) 828-2282.

What is Ava T Shamban MD Inc's specialty?

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

Is Ava T Shamban MD Inc enrolled in Medicare?

Yes. Ava T Shamban MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ava T Shamban MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ava T Shamban MD Inc, in Dermatology and Micrographic Dermatologic Surgery (MDS). A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ava T Shamban MD Inc was last updated on October 13, 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.