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SHIVANI MEHTA GOPALSAMI NP
NPI 1497008304
Nurse Practitioner in Los Angeles, CA

Active since October 17, 2012PECOS EnrolledAccepts Medicare Assignment
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 825-6301(310) 825-7473 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 20, 2017 and 1 more (4 updates tracked since 2017).

About Shivani Mehta Gopalsami Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIVANI MEHTA GOPALSAMI NP (NPI 1497008304) is an individual nurse practitioner in Los Angeles, California, licensed in California (22683) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Duarte, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497008304
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHIVANI MEHTA GOPALSAMICredential: NP
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-3012
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-6301
Fax(310) 825-7473
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 17, 2012
Last NPPES UpdateOctober 1, 20254 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1497008304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 22683
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 22683 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 22683 (CA)
757 WESTWOOD PLZ, Los Angeles, CA 90095
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Secondary Practice Location 1

Location 11500 Duarte Rd, Kaplan L042Duarte, CA 91010-3012 · Phone (909) 973-2226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shivani Mehta Gopalsami Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739468430
PECOS Enrollment IDI20161121002460
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE CHA MD
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8041
DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9129
SAMRAWIT ABRAHA
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
KEN DEKITANI
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-7849
LAUREN M NESI
Urology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
JACQUELINE LABINS MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0903
JYODI DINESH MOHOLE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9132
JASON THAMES HUYNH MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shivani Gopalsami's NPI number?

The NPI number for Shivani Gopalsami is 1497008304. It was assigned to this individual provider in the NPPES registry on October 17, 2012.

Where is Shivani Gopalsami located?

Shivani Gopalsami practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-6301.

What is Shivani Gopalsami's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shivani Gopalsami enrolled in Medicare?

Yes. Shivani Gopalsami is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shivani Gopalsami was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.