Active NPI
Nagesh Shetty, M.D.
- Cardiovascular Disease Physician
- Woodland Hills, CA
National Provider Identifier
1952466245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A33495
- Practice address
- 5995 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623 - Phone
- (818) 888-7009
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A33495 | CA | Primary |
Addresses
Primary practice location
5995 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623
Mailing address
5995 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623
Phone (818) 888-7009
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 |
|---|---|---|---|
| A33495 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ron Javdan MD LLC | Internal Medicine | Past | Accepting new patients |
| Muhammad J.Sohel M.D.Inc | Past | Accepting new patients | |
| Rapha Ipa, Inc. | Past | Accepting new patients | |
| Family Medical Clinic | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Anaheim, CA
- NPI 1114139839
-
- Primary Care Clinic/Center
- Orange, CA
- NPI 1689948937
-
- Health Maintenance Organization
- Torrance, CA
- NPI 1700494606
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1578824256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1952466245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5995 TOPANGA CANYON BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913673623",
"telephone_number": "818-888-7009",
"fax_number": "818-888-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5995 TOPANGA CANYON BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913673623",
"telephone_number": "818-888-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETTY",
"first_name": "NAGESH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A33495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.