Individual provider Active NPI

Shom Dasgupta, MD

  • Pediatric Infectious Diseases Physician
  • Torrance, CA
National Provider Identifier
1437461670
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
A121018 Issued in CA
Practice address
1000 W Carson St
C/O Department of Pediatrics
Torrance, CA 90502-2004
Phone
(310) 222-2343
NPI assigned
Jul 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Infectious Diseases Physician 2080P0208X A121018 CA Primary

Addresses

Primary practice location

1000 W Carson St
C/O Department of Pediatrics
Torrance, CA 90502-2004

Mailing address

1000 W Carson St
C/O Department of Pediatrics
Torrance, CA 90502-2004
Phone (310) 222-2343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in 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
I20150403001037 CA Practitioner - General Practice 2567780463 Reassigns benefits to 1 organization
I20200818002775 CA Practitioner - Infectious Disease 2567780463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Northwestern University Feinberg Medical School, 2010
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)

11833 Wilmington Ave
Los Angeles, CA 90059-3015
Phone (323) 568-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121018CAMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince May 14, 2020 Accepting new patients
Los Angeles County Department of Public Health CurrentSince Nov 14, 2023 Accepting new patients
St. Johns Community Health CurrentSince Jan 17, 2015 Accepting new patients
County of Los Angeles Current Accepting new patients
St. Johns Community Health CurrentSince Jan 17, 2015 Accepting new patients
St. Johns Community Health Current Accepting new patients
County of Los Angeles CurrentSince May 14, 2020 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

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

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

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

335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 471-4810

11833 Wilmington Ave
Los Angeles, CA 90059
Phone (323) 568-8100

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Interoperability endpoints

  • Direct secure messaging: sdasgupta447251@direct.memorialcare.org

Organizations & group practices 8

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": "1278115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1437461670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "address_2": "C/O DEPARTMENT OF PEDIATRICS",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "address_2": "C/O DEPARTMENT OF PEDIATRICS",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASGUPTA",
        "first_name": "SHOM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-03",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "A121018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.