Shanthi Chodagiri

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA57319 Issued in CA

Practice address

11529 Treeview CT
Moorpark, CA 93021-3734

Phone

(585) 615-5351

NPI assigned

Apr 30, 2019

Last updated

Mar 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Touro Un College of Osteopathic Medicine, Vallejo, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Pure Psychiatry of Michigan PLLC

  • Physician Assistant
  • Wayne, MI
  • NPI 1831701671
  Medicare reassignment Care Compare group
• Henry Tang, D.O. Inc.

  • Specialist
  • Simi Valley, CA
  • NPI 1982841623
  Medicare reassignment
• Dr. Curtis Kodama & Associates, Inc.

  • Family Medicine Physician
  • Moorpark, CA
  • NPI 1659678811
  NPD

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

• Los Robles Regional Medical Center

  dba Los Robles Hospital & Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1659935104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11529 TREEVIEW CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213734",
            "telephone_number": "585-615-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11529 TREEVIEW CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213734",
            "telephone_number": "585-615-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODAGIRI",
        "first_name": "SHANTHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Celardo, RCP
• Dawn Chandler, MFT INTERN
• Chester Lin (Plexus Physical Therapy)
• Chilton and Leste Management Inc. (Access TLC Hospice)
• Chilton and Leste Management Inc. (Access TLC Caregivers)
• Heather Cleary, DDS
• Clinicas del Camino Real Inc (Clinicas del Camino Real Inc., Moorpark)
• Christopher Cocker, PSYD
• Community Medical Specialists Inc (Community Behavioral Health)
• Claire Cooley

• Physician Assistant in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.