Individual provider Active NPI

Drora Shevy, M.D.

  • General Practice Physician
  • Altadena, CA
National Provider Identifier
1639402704
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A80145 Issued in CA
Practice address
1840 Skyview Dr
Altadena, CA 91001-2145
Phone
(626) 487-4536
NPI assigned
Sep 8, 2009
Last updated
May 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A80145 CA Primary

Addresses

Primary practice location

1840 Skyview Dr
Altadena, CA 91001-2145

Mailing address

1840 Skyview Dr
Altadena, CA 91001-2145
Phone (626) 487-4536

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
I20240430003810 CA Practitioner - Neurology 7719327253 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80145CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Institute of Los Angeles CurrentSince Mar 1, 2024 Accepting new patients

Locations

6363 Wilshire Blvd
Ste 516
Los Angeles, CA 90048
Phone (310) 933-4590

Organizations & group practices 1

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": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1639402704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SKYVIEW DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012145",
            "telephone_number": "626-487-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SKYVIEW DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012145",
            "telephone_number": "626-487-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVY",
        "first_name": "DRORA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A80145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

Verify at the official NPI Registry.