DR. SHITAL PAVAWALLA (NPI# 1336400357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336400357 |
| Entity Type | Individual |
| Full Name | DR. SHITAL PAVAWALLA |
| Credential | PH.D. |
| Practice Address |
300 Medical Plaza # B200 Los Angeles CA 90095-6361 |
| Mailing Address |
Po Box 512717 Los Angeles CA 90051-0717 |
| Practice Telephone | 3107941195 |
| Mailing Telephone | 3109671780 |
| Mailing Fax Number | 3239400182 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 24673 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8700 Beverly Blvd, West Hollywood, CA 900481804 | 3104239722 | 3102488710 |
| 9909 Medical Center Dr, Rockville, MD 208506361 | 2408646007 | 2408646125 |
| Street Address |
300 MEDICAL PLAZA # B200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-6361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629170477 | Eric M Cheng | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-1769 | 2006-09-02 |
| 1174007330 | Erika Vargas | Nurse Practitioner | 300 Medical Plaza # B200, Los Angeles, CA 90095 | 2018-09-23 |
| 1710383146 | Timothy Shenkang Chang | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-1769 | 2014-11-12 |
| 1174927594 | Leila Parand | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095 | 2014-10-14 |
| 1578977039 | Kelsey Stander | Registered Nurse | 300 Medical Plaza # B200, Los Angeles, CA 90095 | 2014-06-12 |
| 1588906606 | Ranmal Aloka Samarasinghe | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-2536 | 2013-03-27 |
| 1649546128 | Andrew Michael Wilson | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095 | 2012-03-28 |
| 1003182007 | Christopher Bradley Lening | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-1544 | 2012-03-24 |
| 1194013623 | Kevin Patel | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-1703 | 2011-07-19 |
| 1861719742 | Eric Williamson | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-5127 | 2010-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1528541554 | Marlene Garza | Clinical Neuropsychologist | 7381 La Tijera Blvd Unit 45312, Los Angeles, CA 90045-7017 | 2018-09-14 |
| 1922503739 | Douglas Polster | Clinical Neuropsychologist | 300 Stein Plaza Driveway, Los Angeles, CA 90095-0001 | 2018-03-26 |
| 1356875496 | Vindia G Fernandez | Clinical Neuropsychologist | 760 Westwood Plz # 47-429a, Los Angeles, CA 90095-8353 | 2017-04-15 |
| 1528500428 | Shou-chin Christine You | Clinical Neuropsychologist | Mpac Ucla Semel Institute, 760 Westwood Plaza, C8-852, Los Angeles, CA 90095-1759 | 2016-11-08 |
| 1053766139 | Larry C Bernard | Clinical Neuropsychologist | 8560 W Sunset Blvd, Suite 500, Los Angeles, CA 90069-2311 | 2016-04-26 |
| 1164807954 | Stacey M. Bayan | Clinical Neuropsychologist | 11835 W Olympic Blvd., Ste 1265e, Los Angeles, CA 90064-5814 | 2015-07-22 |
| 1346630944 | Sloane Miller | Clinical Neuropsychologist | 1033 Gayley Ave Ste 208, Los Angeles, CA 90024-3426 | 2015-02-03 |
| 1932458155 | Nora Goudsmit | Clinical Neuropsychologist | 640 S San Vicente Blvd Ste 476, Los Angeles, CA 90048-4661 | 2012-09-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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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.