Individual provider Active NPI

Shana Subodh Kalaria, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1396164539
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
BP10050298 Issued in TX
Practice address
215 S la Cienega Blvd Ste 100
Beverly Hills, CA 90211-3321
Phone
(310) 620-7911
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X BP10050298 TX Primary

Addresses

Primary practice location

215 S la Cienega Blvd Ste 100
Beverly Hills, CA 90211-3321

Mailing address

215 S la Cienega Blvd Ste 100
Beverly Hills, CA 90211-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20200611002391 TX Practitioner - Plastic and Reconstructive Surgery 9032480884 Reassigns benefits to 1 organization
I20221229000669 CA Practitioner - Plastic and Reconstructive Surgery 9032480884 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10050298TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Skin and Vein Institute CurrentSince Nov 18, 2022 Accepting new patients
Utmb Faculty Group Practice CurrentSince Apr 30, 2020 Accepting new patients

Locations

1101 N Sepulveda Blvd
Ste 100
Manhattan Beach, CA 90266
Phone (310) 370-5670

3661 Torrance Blvd
Ste 104
Torrance, CA 90503
Phone (310) 370-5670

4201 Torrance Blvd
Ste 100
Torrance, CA 90503

13420 Newport Ave
Ste G
Tustin, CA 92780
Phone (714) 731-0061

1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1396164539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S LA CIENEGA BLVD STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S LA CIENEGA BLVD STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113321",
            "telephone_number": "310-620-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALARIA",
        "first_name": "SHANA",
        "middle_name": "SUBODH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "BP10050298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.