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

Shintaro Chiba, MD

Individual provider Surgery Physician · NPI 1912264763

Shintaro Chiba, MD is a General Surgery in Loma Linda, California. Qualified in 2012, 14 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
14
Licensed in
CA, TX
In the registry since
2012
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

11175 Campus Street Coleman Pavilion 21111
Loma Linda, CA 92354
Phone: (347) 446-4228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4802 10th Ave, Brooklyn, NY 11219 — (718) 283-6000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence S3504 (TX)
Surgery Physician Taxonomy 208600000X · Licence A153896 (CA)

Record details

NPI number1912264763
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2012
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020
Mailing address2000 Trans Mountain Rd Ste B, El Paso, TX 79911-3602

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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