NPI Details
Ava T Shamban, MD is a dermatology in Santa Monica, CA with 43 years of experience. The provider is 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. Ava T Shamban, MD NPI is 1003922162. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:1982
The provider's business location address is:
2021 SANTA MONICA BLVD
SUITE 600E
SANTA MONICA, CA
ZIP 90404
Phone: (310) 828-2282
Fax: (310) 828-8504
The NPI 1003922162 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 05D0864862 - physician office with a certificate type of Certificate of Compliance.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Simple or single drainage of skin abscess (HCPCS:10060)
- Destruction of skin growth, 15 or more growths (HCPCS:17111)
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Application of light to destroy precancer skin growth (HCPCS:96567)
- Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
- Punch biopsy, first skin growth (HCPCS:11104)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 8/22/2006 and was last updated on 5/3/2022.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207NS0135X | Dermatology | Procedural Dermatology | G50969 | CALIFORNIA | No |
| 2 | 207N00000X | Dermatology | | G50969 | CALIFORNIA | Yes |
