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

Dr. Seiji Bruce Shibata, MDPHD

Individual provider Otolaryngology Physician · NPI 1750674370

Dr. Seiji Bruce Shibata, MDPHD is an Otolaryngology in Los Angeles, California. Qualified in 2002, 24 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2011
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Practice location Address checks out

1450 San Pablo St Ste 5100
Los Angeles, CA 90033-5331
Phone: (323) 442-5790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence A168954 (CA)

Record details

NPI number1750674370
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMay 17, 2011
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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