Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shahin Tissa Chandrasoma, MD

Individual provider Urology Physician · NPI 1104148014

Dr. Shahin Tissa Chandrasoma, MD is an Urology in Los Angeles, California. Graduated from University of Southern California Keck School of Medicine in 2003, 23 years ago. Practices with Pasadena Urological Medical Group, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 N State St Rm 5900
Los Angeles, CA 90033-1029
Phone: (323) 226-7335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence A95830 (CA)

Record details

NPI number1104148014
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 18, 2010
Last updated in NPPESFebruary 18, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Pasadena Urological Medical Group — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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