Individual provider · Type 1 NPI

Shivani Mehta Gopalsami, NP

Nurse Practitioner · Los Angeles, CA

NPI number 1497008304 Active

Practice location

757 Westwood Plz
Los Angeles, CA 90095-3012

Call (310) 825-6301 Map

Fax (310) 825-7473

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 1500 Duarte Rd, Kaplan L042, Duarte, CA 91010-3012 · (909) 973-2226

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician 207RH0003X22683 (CA)
Adult Health Nurse Practitioner 363LA2200X22683 (CA)
Nurse Practitioner Primary 363L00000X22683 (CA)

Nurse Practitioner: (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 wit…

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About NPI 1497008304

Shivani Mehta Gopalsami, NP's National Provider Identifier is 1497008304, issued on Oct 17, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 1, 2025.