Clayton Thomas Hinshaw (NPI# 1326043456, PAC ID# 6103959127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1326043456 |
| PAC ID by PECOS | 6103959127 |
| Professional Enrollment ID | I20100728000282 |
| Full Name | Clayton Thomas Hinshaw |
| Organization Legal Name | SIMI DERMATOLOGIC MEDICAL CENTER, INC |
| Address |
2925 Sycamore Dr Suite 203 Simi Valley CA 93065-1208 |
| Phone Number | 8055276586 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5193739332 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050236 | ADVENTIST HEALTH SIMI VALLEY |
| Address | Phone | Organization |
|---|---|---|
| 2925 Sycamore Dr, Suite 203, Simi Valley, CA 93065-1208 | 8055276586 | SIMI DERMATOLOGIC MEDICAL CENTER, INC |
| 18364 Clark St, Tarzana, CA 91356-3502 | 8183457122 | VALLEY DERMATOLOGIC MEDICAL GROUP INC |
| 32144 Agoura Rd, Suite 106, Westlake Village, CA 91361-4040 | 8053793376 | DAPHNE I PANAGOTACOS MD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 64% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 64% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 64% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 67% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 67% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 67% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SIMI DERMATOLOGIC MEDICAL CENTER, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Linden | Dermatology | Simi Dermatologic Medical Center, Inc | 2925 Sycamore Dr, Suite 203, Simi Valley, CA 93065-1208 |
| Ada M Winkielman | Dermatology | Simi Dermatologic Medical Center, Inc | 2925 Sycamore Dr, Suite 203, Simi Valley, CA 93065-1208 |
| Street Address |
2925 SYCAMORE DR SUITE 203 |
| City | SIMI VALLEY |
| State | CA |
| Zip | 93065-1208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smita D Mehta | Physician Assistant | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Jun Yung Kim | Nurse Practitioner | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Bruce Albert Nelson Iii | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Donald I Kuzyk | Podiatry | 2925 Sycamore Dr, Suite 109, Simi Valley, CA 93065-1208 | |
| Masahiro Kushigemachi | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Charles E Linden | Dermatology | Simi Dermatologic Medical Center, Inc | 2925 Sycamore Dr, Suite 203, Simi Valley, CA 93065-1208 |
| Lisa Noriye Oki | Dermatology | 2925 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1208 | |
| Dominic Muzsnai | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Mohan N Lakhani | Interventional Cardiology | 2925 Sycamore Dr, Suite 310, Simi Valley, CA 93065-1209 | |
| Shashi K Reddy | Urology | Simi San Fernando Valley Urology Associates | 2925 Sycamore Dr, Suite 103, Simi Valley, CA 93065-1208 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Cohen | Optometry | 1555 Simi Town Ctr Way, Suite 575, Simi Valley, CA 93065-0535 | |
| Daria Younessi | Family Medicine | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Paul J Miller | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 2985 N Sycamore Dr, Simi Valley Radiation Oncology Medi, Simi Valley, CA 93065-1201 |
| Joyce Norman | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Alan L Kuban | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Qurat-ul-ain A Rashid | Internal Medicine | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Jonathan R Nasseri | Hospice/palliative Care | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Trung Bui | Vascular Surgery | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | |
| Ira H Tilles | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Hillary D Runnels | Physician Assistant | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Find all physicians in zip 93065 | |||
| City | SIMI VALLEY |
| Zip Code | 93065 |
| Specialty | DERMATOLOGY |
| City + Specialty | SIMI VALLEY + DERMATOLOGY |
Please comment or provide details below to improve the information on Clayton Thomas Hinshaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.