KATIE MELODY SHUBIN PA-C
NPI 1538196837
Physician Assistant - Medical in Long Beach, CA

Q: What is Katie Shubin's NPI number?

The NPI number for Katie Shubin is 1538196837. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Katie Shubin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Shubin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 26, 2006PECOS Enrolled

3545 LONG BEACH BLVD, SUITE 105, LONG BEACH, CA 90807(562) 595-0060(562) 981-0916 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Katie Melody Shubin Pa-c NPPES

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

KATIE MELODY SHUBIN PA-C (NPI 1538196837) is an individual medical provider in Long Beach, California, licensed in California (PA18171) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538196837

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKATIE MELODY SHUBINCredential: PA-C

Location Address3545 LONG BEACH BLVD, SUITE 105Long Beach, CA 90807-3941

Mailing Address3545 Long Beach Blvd, Suite 105Long Beach, CA 90807-3941 · (562) 595-0060 · Fax (562) 981-0916

Phone(562) 595-0060

Fax(562) 981-0916

Sole ProprietorNo

Enumeration DateJune 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1538196837 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 · PA18171

3545 LONG BEACH BLVD, Long Beach, CA 90807

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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)

Katie Melody Shubin Pa-c 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.

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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.

ALAN OSWALDO DE SANTIAGO

Case Manager/Care Coordinator