Shivanand R Pole MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A101547 Issued in CA

Legal business name

SHIVANAND R POLE MD INC

Practice address

3801 Katella Ave Ste 321
Los Alamitos, CA 90720-3369

Phone

(562) 546-7282

Fax

(562) 546-7284

NPI assigned

Nov 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Shivanand R Pole, MDNPI 1477737369

Title

President

Phone

(562) 546-7282

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shivanand R Pole, M.D

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1477737369
  Medicare reassignment Authorized official
• Watson A Desa, MD

  • Interventional Cardiology Physician
  • Los Alamitos, CA
  • NPI 1235185620
  NPD

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1598042178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 321",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203369",
            "telephone_number": "562-546-7282",
            "fax_number": "562-546-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 321",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203369",
            "telephone_number": "562-546-7282",
            "fax_number": "562-546-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVANAND R POLE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "POLE",
        "authorized_official_first_name": "SHIVANAND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-546-7282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101547",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A101547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kay Shifflett-Collins, MFT
• Constance S. Shih, M.D.
• Margaret Shih, L.AC.
• Richard C Shin, MD
• Jane K. Shintaku
• Shohet Ear Associates Medical Group, Inc
• Shokoufeh Shokri
• Puja Shrestha, MD
• Reshma Shroff, RPH
• Natalie Tse-Lan Shum, MD

• Internal Medicine Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.