Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ava T Shamban, MD

Individual provider Procedural Dermatology Physician · NPI 1003922162

Ava T Shamban, MD is a Dermatology in Santa Monica, California. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1982, 44 years ago. Practices with Ava T Shamban MD Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
44
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2021 Santa Monica Blvd Ste 600E
Santa Monica, CA 90404
Phone: (310) 828-2282
Fax: (310) 828-8504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G50969 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence G50969 (CA)

Record details

NPI number1003922162
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1982 (44 years in practice)
Group practice Ava T Shamban Md Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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