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

Elmira Mira Shishim, PA

Individual provider Medical Physician Assistant · NPI 1174777536

Elmira Mira Shishim, PA is a Physician Assistant in Ventura, California. Qualified in 2008, 18 years ago. Practices with Community Memorial Health System, a 187-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

300 Hillmont Ave
Ventura, CA 93003-1651
Phone: (805) 652-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 S Wells Rd, Ventura, CA 93004-1377 — (805) 659-1740

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA19995 (CA)

Record details

NPI number1174777536
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 12, 2008
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Community Memorial Health System — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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