Sovereign Paladin Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SOVEREIGN PALADIN INC

Practice address

6080 Center Dr
Los Angeles, CA 90045-9209

Phone

(424) 512-2300

NPI assigned

Aug 12, 2026

Organization subpart

No

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

Authorized official

Name

Robert Mark Shideler, MD

Title

Ceo Owner

Phone

(937) 219-8735

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1760307136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 NW 10TH STREET, STE 202",
            "address_2": "BOX 175",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 CENTER DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900459209",
            "telephone_number": "424-512-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN PALADIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "SHIDELER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "937-219-8735",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.