TERRY YOSHINDO SHIBUYA MD
NPI 1952460529
Otolaryngology - Plastic Surgery within the Head & Neck in Anaheim, CA

Q: What is Terry Shibuya's NPI number?

The NPI number for Terry Shibuya is 1952460529. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Q: What is Terry Shibuya's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Terry Shibuya was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment

441 N LAKEVIEW AVE, ANAHEIM, CA 92807(888) 988-2800 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Terry Yoshindo Shibuya Md NPPES

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

TERRY YOSHINDO SHIBUYA MD (NPI 1952460529) is an individual plastic surgery within the head & neck provider in Anaheim, California, licensed in California (G80443) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1990).

NPPES Registry Identity

NPI1952460529

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameTERRY YOSHINDO SHIBUYACredential: MD

Location Address441 N LAKEVIEW AVEAnaheim, CA 92807-3028

Mailing Address441 N Lakeview AveAnaheim, CA 92807-3028 · (888) 988-2800

Phone(888) 988-2800

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1990

Enumeration DateDecember 8, 2006

Last NPPES UpdateDecember 1, 2021

✔ NPI 1952460529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in CA · G80443

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

441 N LAKEVIEW AVE, Anaheim, CA 92807

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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 and accepts Medicare assignment

Terry Yoshindo Shibuya Md 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 ID7517028707

PECOS Enrollment IDI20081205000637

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.

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.

DINO A. IMPERIAL DO

Family Medicine