Sruti Nagam, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

590 N Vermont Ave
Los Angeles, CA 90004-2115

Phone

(323) 284-7998

NPI assigned

Jun 15, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1174458780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 FORBES DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603684",
            "telephone_number": "732-208-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042115",
            "telephone_number": "323-284-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGAM",
        "first_name": "SRUTI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamid Reza Naficy, MD
• Leonard Wayne Naftalin, DDS
• Steven Naftaly
• Sharon Nagahama
• Ito Sharon Nagakawa, M.D., M.P.H.
• Ernest T Nagamatsu
• Glenn Nagami, M.D.
• Alan Nagamoto
• Troy T Nagao, PA
• Shruti Nagaraj

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.