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

Niraj Butala

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316280977

Niraj Butala is a Dermatology in Los Angeles, California. Graduated from Saint Louis University School of Medicine in 2013, 13 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Saint Louis University School of Medicine
Licensed in
CA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

200 Med Plz #365 420 120
Los Angeles, CA 90024-0001
Phone: (310) 794-1276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6105 Port Au Prince, Riverside, CA 92506-3757 — (951) 318-3330
  • 6105 Port Au Prince, Riverside, CA 92506-3757 — (951) 318-3330

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A147264 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316280977
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2013
Last updated in NPPESDecember 1, 2021
Mailing address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Los Angeles