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

Jaya Shree Rajagopalan

Individual provider Podiatrist · NPI 1417448994

Jaya Shree Rajagopalan is a Podiatry in Valley Village, California. Qualified in 2021, 5 years ago. Practices with Jeffrey Demian Inc, a 27-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
5
Licensed in
CA, TX
In the registry since
2018
Specialties on file
2

Practice location Address checks out

12520 Magnolia Blvd Ste 304
Valley Village, CA 91607-2355
Phone: (818) 452-9902
Fax: (818) 452-9882
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 5771 (CA)
Podiatrist Taxonomy 213E00000X · Licence 3107 (TX)

Record details

NPI number1417448994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2018
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Jeffrey Demian Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valley Village