Individual provider Active NPI

Shobita Rajagopalan, MD, MPH

  • Infectious Disease Physician
  • Inglewood, CA
National Provider Identifier
1205041779
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A51072 Issued in CA
Practice address
123 W Manchester Blvd
Inglewood, CA 90301-1753
Phone
(310) 330-1533
NPI assigned
May 10, 2007
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A51072 CA Primary

Addresses

Primary practice location

123 W Manchester Blvd
Inglewood, CA 90301-1753

Mailing address

123 W Manchester Blvd
Inglewood, CA 90301-1753
Phone (310) 330-1533

Other practice location 1

7643 Painter Ave
Whittier, CA 90602-2358
Phone (562) 464-5350

Other practice location 2

711 Del Amo Blvd
Torrance, CA 90502-1362
Phone (310) 354-2300

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131018000180 CA Practitioner - Internal MedicinePractitioner - Infectious Disease 4789818139 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles County Department of Public HealthGroup PAC ID 3072966621, 40 clinicians

Practice addresses (Care Compare)

711 Del Amo Blvd
Torrance, CA 90502-1362
Phone (310) 354-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Aug 24, 2013 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 30, 2014 Accepting new patients
County of Los Angeles CurrentSince May 21, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 30, 2014 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
County of Los Angeles CurrentSince Aug 24, 2013 Accepting new patients
County of Los Angeles Current Accepting new patients
Los Angeles County Department of Public Health CurrentSince Nov 14, 2023 Accepting new patients
County of Los Angeles, Public Health Pharmacy Department Past Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 723-4526

12021 Wilmington Ave
Los Angeles, CA 90059
Phone (310) 668-4515

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

241 N Figueroa St
Rm B9
Los Angeles, CA 90012
Phone (213) 250-8616

711 Del Amo Blvd
Torrance, CA 90502
Phone (310) 354-2233

7643 Painter Ave
Whittier, CA 90602
Phone (562) 464-5350

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1205041779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011753",
            "telephone_number": "310-330-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011753",
            "telephone_number": "310-330-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7643 Painter Ave",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906022358",
            "country_code": "US",
            "telephone_number": "562-464-5350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Del Amo Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905021362",
            "country_code": "US",
            "telephone_number": "310-354-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAGOPALAN",
        "first_name": "SHOBITA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A51072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.