Shivani Gupta, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

137240 Issued in CA

Practice address

13652 Cantara St
Building 2
Panorama City, CA 91402-5423

Phone

(818) 375-1750

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

OphthalmologyAlso: Plastic and Reconstructive Surgery

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Thrive Health IV Clinic, P.C.

  • Multi-Specialty Clinic/Center
  • Beverly Hills, CA
  • NPI 1386343580
  Medicare reassignment NPD
• Thrive Health IV Clinic, P.C.

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1861182867
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Lancaster, CA
  • NPI 1982863783
  NPD
• Thrive Health IV Clinic PC

  • Multi-Specialty Clinic/Center
  • Sherman Oaks, CA
  • NPI 1497615686
  NPD
• Lawrence Handler MD PC

  • Ophthalmology Physician
  • Clinton TWP, MI
  • NPI 1639320369
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1194920595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13652 CANTARA ST",
            "address_2": "BUILDING 2",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13652 CANTARA ST",
            "address_2": "BUILDING 2",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025423",
            "telephone_number": "818-375-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHIVANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301097505",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "137240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "137240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Katherin Gunn-Glanville, ABAT
• Adam W. Guo, MD
• Poonam Gupta, PHARM.D
• Ravi Gupta, MD
• Shalesh Gupta, MD
• Leah Gurvitz
• Ann Marie Gutierrez, PHARMD
• Daniel Antonio Gutierrez Jr.
• Oscar Gutierrez
• Marcia B Guttler, LCSW

• Ophthalmology Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.