DR. SEIJI BRUCE SHIBATA M.D. PH.D.
NPI 1750674370
Otolaryngology in Los Angeles, CA

Active since May 17, 2011PECOS EnrolledAccepts Medicare Assignment
1450 SAN PABLO ST STE 5100, LOS ANGELES, CA 90033(323) 442-5790 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2022, Aug 20, 2020 (2 updates tracked since 2020).

About Dr. Seiji Bruce Shibata M.d. Ph.d. NPPES

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

DR. SEIJI BRUCE SHIBATA M.D. PH.D. (NPI 1750674370) is an individual otolaryngology provider in Los Angeles, California, licensed in California (A168954) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1750674370
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SEIJI BRUCE SHIBATACredential: M.D. PH.D.
Location Address1450 SAN PABLO ST STE 5100Los Angeles, CA 90033-5331
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5790
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 17, 2011
Last NPPES UpdateMay 12, 20222 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
NPI 1750674370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CA · A168954
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1450 SAN PABLO ST STE 5100, Los Angeles, CA 90033

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

Dr. Seiji Bruce Shibata M.d. Ph.d. 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 ID1951540061
PECOS Enrollment IDI20200622001376
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
233 services157 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
185 services152 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
180 services125 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
176 services149 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services78 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 19

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

Speech-Language Pathologist
1450 SAN PABLO ST STE 5100
LOS ANGELES, CA 90033
Speech-Language Pathologist
1450 SAN PABLO ST STE 5100
LOS ANGELES, CA 90033
Otolaryngology
1450 SAN PABLO ST STE 5100
LOS ANGELES, CA 90033
Otolaryngology
1450 SAN PABLO ST STE 5100
LOS ANGELES, CA 90033
Otolaryngology
1450 SAN PABLO ST STE 5100
LOS ANGELES, CA 90033
Otolaryngology
1450 SAN PABLO ST STE 5100
LOS ANGELES, CA 90033
Physician Assistant
1450 SAN PABLO ST STE 5100
LOS ANGELES, CA 90033
Otolaryngology
1450 SAN PABLO ST STE 5100
LOS ANGELES, CA 90033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750674370, enumerated as an "individual" on May 17, 2011.

The provider is located at 1450 SAN PABLO ST STE 5100 LOS ANGELES, CA 90033 and the phone number is (323) 442-5790.

Otolaryngology with taxonomy code 207Y00000X.