Active NPI
Shobha B Govind, MD
- Family Medicine Physician
- Lakewood, CA
National Provider Identifier
1780792259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A33851
- Practice address
- 3650 South St
Suite 103
Lakewood, CA 90712-1502 - Phone
- (562) 531-8110
- NPI assigned
- Aug 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A33851 | CA | Primary |
Addresses
Primary practice location
3650 South St
Suite 103
Lakewood, CA 90712-1502
Mailing address
3650 South St
Suite 103
Lakewood, CA 90712-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A33851 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1780792259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 SOUTH ST",
"address_2": "SUITE 103",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 SOUTH ST",
"address_2": "SUITE 103",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121502",
"telephone_number": "562-531-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOVIND",
"first_name": "SHOBHA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-26",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A33851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.