MEDICARE: DR. THEODORE BENJAMIN SHYBUT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	N3308	TX
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	N3308	TX
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	C183683	CA
4	207X00000X	Orthopaedic Surgery Physician	C183683	CA

General Provider Information

NPI Number	:	1407046584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THEODORE BENJAMIN SHYBUT MD

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24051 NEWHALL RANCH RD
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-5702
Country	:	US
Telephone Number	:	661-254-6364
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	01/30/2023

Similar Medicare Providers

1215330808 — CHRISTOPHER MITCHELL LITTMANN PA
Practice Location Address:

24051 NEWHALL RANCH RD BLDG C
VALENCIA, CA
91355-5702

Practice Phone: 661-254-6364
Practice Fax:

1285765685 — DEEPEN BHATT PT
Practice Location Address:

24051 NEWHALL RANCH RD
VALENCIA, CA
91355-5702

Practice Phone: 661-254-6364
Practice Fax: 661-254-6787

1215113741 — JULIA RAE MIDDLETON PA-C
Practice Location Address:

24035 NEWHALL RANCH RD
VALENCIA, CA
91355-5702

Practice Phone: 661-291-3444
Practice Fax: 661-291-3456

1255517603 — JESSICA RAE TORAN PT
Practice Location Address:

24051 NEWHALL RANCH RD BLDG C
VALENCIA, CA
91355-5702

Practice Phone: 661-254-6364
Practice Fax:

1427364579 — DR. JARED ALAN NISKA M.D.
Practice Location Address:

24051 NEWHALL RANCH RD BLDG C
VALENCIA, CA
91355-5702

Practice Phone: 661-254-6364
Practice Fax:

1750689378 — DR. HOOMAN PARSI M.D.
Practice Location Address:

24035 NEWHALL RANCH RD
VALENCIA, CA
91355-5702

Practice Phone: 661-291-3449
Practice Fax:

Directions to “ DR. THEODORE BENJAMIN SHYBUT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.