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SHIMON OMMATYAR PA-C
NPI 1689330177
Physician Assistant in Los Angeles, CA

Active since November 09, 2021
2011 WILSHIRE BLVD, LOS ANGELES, CA 90057(213) 484-4444 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Nov 18, 2021, Nov 9, 2021 (3 updates tracked since 2021).

About Shimon Ommatyar Pa-c NPPES

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

SHIMON OMMATYAR PA-C (NPI 1689330177) is an individual physician assistant in Los Angeles, California, licensed in California (60283) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1689330177
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHIMON OMMATYARCredential: PA-C
Location Address2011 WILSHIRE BLVDLos Angeles, CA 90057-3503
Mailing Address2011 Wilshire BlvdLos Angeles, CA 90057-3503 · (310) 409-6677
Phone(213) 484-4444
Sole ProprietorNo
Enumeration DateNovember 9, 2021
Last NPPES UpdateFebruary 28, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1689330177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 60283
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.
2011 WILSHIRE BLVD, Los Angeles, CA 90057
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Other Providers at the Same Location NPPES 7

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

MR. ANTHONY RODRIGUEZ MANALAD N.P.
Nurse Practitioner (Family)
2011 WILSHIRE BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 484-4444
VIOLETA M DE JESUS MD
Internal Medicine (Adolescent Medicine)
2011 WILSHIRE BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 484-4444
MICHAEL GITTER, MD, INC
Specialist
2011 WILSHIRE BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 484-1244
MICHAEL GITTER M.D., INC.
General Practice
2011 WILSHIRE BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 413-2700
ARIELLA COHAN PA-C
Physician Assistant
2011 WILSHIRE BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 484-4444
DR. BABAK PEZESHKI MD, MPH
Internal Medicine
2011 WILSHIRE BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 413-2700
MRS. JOY LORRAINE WELLS PA-C
Physician Assistant
2011 WILSHIRE BLVD
LOS ANGELES, CA 90057
Los Angeles County (310) 644-8400

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 Shimon Ommatyar's NPI number?

The NPI number for Shimon Ommatyar is 1689330177. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Shimon Ommatyar located?

Shimon Ommatyar practices at 2011 Wilshire Blvd, Los Angeles, CA 90057. The listed phone number is (213) 484-4444.

What is Shimon Ommatyar's specialty?

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

When was this NPI record last updated?

The NPPES record for Shimon Ommatyar was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.