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

Shimon Ommatyar, PA-C

Individual provider Physician Assistant · NPI 1689330177

Shimon Ommatyar, PA-C is a Physician Assistant in Los Angeles, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
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

2011 Wilshire Blvd
Los Angeles, CA 90057-3503
Phone: (213) 484-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60283 (CA)

Record details

NPI number1689330177
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 9, 2021
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

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