Individual provider Active NPI

Shimoni Kamal Patel, D.O.

  • Anesthesiology Physician
  • Santa Monica, CA
National Provider Identifier
1497103766
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A18786 Issued in CA
Practice address
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone
(310) 829-5511
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Anesthesiology Physician 207L00000X 20A18786 CA Primary

Addresses

Primary practice location

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303

Mailing address

18843 Kentfield PL
Rowland Heights, CA 91748-4959
Phone (213) 321-5674

Other practice location 1

234 E 149th St
Bronx, NY 10451-5504
Phone (718) 579-4834

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
I20211021003107 CA Practitioner - Anesthesiology 8820332661 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Touro Un Col of Osteopathic Medicine, New York, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Memorial Medical CenterGroup PAC ID 4486622362, 68 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Precision Anesthesia Group IncGroup PAC ID 6204145105, 14 clinicians

Practice addresses (Care Compare)

1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone 323268500034066

4760 W Sunset Blvd
Los Angeles, CA 90027-6063
Phone (323) 783-4011

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

9735 Wilshire Blvd
Suite 100
Beverly Hills, CA 90212-2114
Phone (310) 601-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
78.77
Promoting interoperability
92
Improvement activities
40
Cost
48

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
69.82
Promoting interoperability
95
Improvement activities
40
Cost
67.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18786CAMDAnesthesiology Physician
18786CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Adventist Medical Center General Acute Care Hospital CurrentSince May 31, 2023 Accepting new patients
Precision Anesthesia Group Inc CurrentSince Jun 26, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 1, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 17, 2025 Accepting new patients
Bayside Anesthesia Medical Group CurrentSince Sep 1, 2021 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 1, 2022 Accepting new patients
Glendale Adventist Medical Center CurrentSince May 31, 2023 Accepting new patients

Locations

9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900

120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

4760 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 783-0567

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1801 W Olympic Blvd
#2100
Pasadena, CA 91199

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1497103766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18843 KENTFIELD PL",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484959",
            "telephone_number": "213-321-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042303",
            "telephone_number": "310-829-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515504",
            "country_code": "US",
            "telephone_number": "718-579-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIMONI",
        "middle_name": "KAMAL",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A18786",
            "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": "4760 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.