DR. SHANTHI GOWRINATHAN (NPI# 1174892087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174892087 |
| Entity Type | Individual |
| Full Name | DR. SHANTHI GOWRINATHAN |
| Credential | M.D. |
| Practice Address |
1301 20th St Ste 540 Santa Monica CA 90404-2118 |
| Mailing Address |
1301 20th St Ste 145 Santa Monica CA 90404-2050 |
| Practice Telephone | 3105827641 |
| Practice Fax Number | 3103154069 |
| Mailing Telephone | 3105827641 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A119204 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
A119204 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1301 20TH ST STE 540 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184724932 | Keith Gregory Heinzerling | Internal Medicine | 1301 20th St Ste 540, Santa Monica, CA 90404-2118 | 2006-09-22 |
| 1760942379 | Micah Linton | Psychologist | 1301 20th St Ste 540, Santa Monica, CA 90404-2118 | 2019-03-20 |
| 1952623514 | Karina Sergi | Marriage & Family Therapist | 1301 20th St Ste 540, Santa Monica, CA 90404-2118 | 2010-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962690057 | Karen Eve Kleeman | Psychiatry & Neurology | 531 12th St, Santa Monica, CA 90402-2907 | 2007-10-15 |
| 1447475447 | Richard Friedman | Psychiatry & Neurology | 315 9th St, Santa Monica, CA 90402-1925 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366811176 | Pain Management A Professional Corporation | Psychiatry & Neurology | 1601 Dove St Ste 100, Newport Beach, CA 92660-2410 | 2015-09-22 |
| 1619272028 | Susan T Kleeman | Psychiatry & Neurology | 6344 Muirlands Dr, La Jolla, CA 92037-6352 | 2011-01-14 |
| 1740590587 | Mafa R Kamal M D Inc | Psychiatry & Neurology | 120 E Longden Ave, Arcadia, CA 91006-5242 | 2010-10-14 |
| 1871794404 | James Henry Lake | Psychiatry & Neurology | 1015 Cass St, Suite 8, Monterey, CA 93940-4536 | 2007-05-30 |
| 1669673802 | Eli Comay | Psychiatry & Neurology | 8936 S Sepulveda Blvd, Los Angeles, CA 90045-3628 | 2007-05-28 |
| 1124238233 | Yoosuck Jung | Psychiatry & Neurology | 21117 Gary Dr, Hayward, CA 94546-6140 | 2007-05-23 |
| 1700096567 | Navdeep Dhaliwal, M.d. A Prof.corp | Psychiatry & Neurology | 2626 N California St Ste F, Stockton, CA 95204-5500 | 2007-05-23 |
| 1497960470 | Samuel Herbert Sandweiss | Psychiatry & Neurology | 767 Amiford Dr, San Diego, CA 92107-4254 | 2007-05-11 |
| 1841405990 | Joshua Sheldon Golden | Psychiatry & Neurology | 615 Palmera Ave, Pacific Palisades, CA 90272-3357 | 2007-05-11 |
| 1902010838 | Richard Allen Kunin | Psychiatry & Neurology | 2698 Pacific Ave, San Francisco, CA 94115-1128 | 2007-05-10 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.