Individual provider Active NPI

Nirupamaa Sivanushanthan, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1720729031
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
197934 Issued in CA
Practice address
221 Westwood PLZ
Los Angeles, CA 90095-4103
Phone
(310) 825-4073
Fax
(310) 267-1996
NPI assigned
Apr 2, 2022
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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
Family Medicine Physician 207Q00000X 197934 CA Primary

Addresses

Primary practice location

221 Westwood PLZ
Los Angeles, CA 90095-4103

Mailing address

221 Westwood PLZ
Los Angeles, CA 90095-4103

Other practice location 1

2025 Morse Ave
Sacramento, CA 95825-2115
Phone (916) 973-5000

Other practice location 2

2051 John Jones Rd
Davis, CA 95616-9701
Phone (530) 758-2060

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
I20250813002400 CA Practitioner - Family Practice 2062910565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1141 Pear Tree LN
Napa, CA 94558-6445

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

470 Chadbourne Rd
Fairfield, CA 94534-9600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Nov 1, 2025 Accepting new patients
Ole Health CurrentSince Jul 29, 2025 Accepting new patients
Ole Health Current Accepting new patients
Ole Health CurrentSince Jul 29, 2025 Accepting new patients

Locations

2051 John Jones Rd
Davis, CA 95616
Phone (530) 753-3498

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

1141 Pear Tree Ln
Napa, CA 94558
Phone (707) 258-6128

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1720729031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900954103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900954103",
            "telephone_number": "310-825-4073",
            "fax_number": "310-267-1996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Morse Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958252115",
            "country_code": "US",
            "telephone_number": "916-973-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 John Jones Rd",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956169701",
            "country_code": "US",
            "telephone_number": "530-758-2060",
            "fax_number": "530-758-8490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVANUSHANTHAN",
        "first_name": "NIRUPAMAA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "197934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.