Active NPI
Paloma Shukla
- Behavior Analyst
- San Pedro, CA
National Provider Identifier
1790591022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1359 W 17TH St
San Pedro, CA 90732-4005 - Phone
- (310) 505-2051
- NPI assigned
- Dec 11, 2024
- Last updated
- Feb 18, 2026
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1359 W 17TH St
San Pedro, CA 90732-4005
Mailing address
1359 W 17TH St
San Pedro, CA 90732-4005
Phone (310) 505-2052
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Psychcare, Inc. | Behavior Analyst | Current | Accepting new patients |
Locations
16380 Roscoe Blvd
Ste 100
Van Nuys, CA 91406
Phone (818) 401-0661
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": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1790591022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1359 W 17TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907324005",
"telephone_number": "310-505-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1359 W 17TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907324005",
"telephone_number": "310-505-2051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKLA",
"first_name": "PALOMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.