Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shamim Mohamed Remtulla, PA-C

Individual provider Medical Physician Assistant · NPI 1053614115

Shamim Mohamed Remtulla, PA-C is a Physician Assistant in Culver City, California. Qualified in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8900 Venice Blvd Ste 109
Culver City, CA 90232-2361
Phone: (424) 282-5696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6041 Cadillac Ave, Los Angeles, CA 90034-1702 — (323) 857-3335

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA21180 (CA)

Record details

NPI number1053614115
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 13, 2010
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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