Individual provider Active NPI

Shruti S Vora, M.D.

  • Pediatrics Physician
  • Rancho Santa Margarita, CA
National Provider Identifier
1881014686
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A139847 Issued in CA
Practice address
30212 Tomas Ste 220
Rancho Santa Margarita, CA 92688-2174
Phone
(949) 858-1100
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A139847 CA Primary

Addresses

Primary practice location

30212 Tomas Ste 220
Rancho Santa Margarita, CA 92688-2174

Mailing address

25909 Pala Ste 170
Mission Viejo, CA 92691-2778
Phone (949) 770-6789

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170511001593 CA Practitioner - Pediatric Medicine 8224336383 Reassigns benefits to 2 organizations
I20220711001359 MI Practitioner - Pediatric Medicine 8224336383 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139847CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Uci Dept of Pediatrics Pediatrics CurrentSince Apr 21, 2017 Accepting new patients
Regents of the University of Michigan CurrentSince Jun 14, 2022 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. Pediatrics CurrentSince Nov 11, 2019 Accepting new patients
Regents of the University of Michigan Pediatrics CurrentSince Jun 14, 2022 Accepting new patients
Regents of the University of Michigan Pediatrics Current Accepting new patients
Pediatric Subspecialty Faculty, Inc. Pediatrics Past Accepting new patients
Children'S Hospital Los Angeles Medical Group Past Accepting new patients
Children'S Hospital Los Angeles Past Accepting new patients

Locations

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

4650 W Sunset Blvd
#113
Los Angeles, CA 90027
Phone (323) 361-2109

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

400 E Eisenhower Pkwy
Ann Arbor, MI 48108
Phone (734) 232-2600

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: svora222190@direct.memorialcare.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1881014686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25909 PALA STE 170",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912778",
            "telephone_number": "949-770-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS STE 220",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882174",
            "telephone_number": "949-858-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORA",
        "first_name": "SHRUTI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A139847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.