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

Shanthi Chodagiri

Individual provider Physician Assistant · NPI 1659935104

Shanthi Chodagiri is a Physician Assistant in Moorpark, California. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2019, 7 years ago. Practices with Pure Psychiatry of Michigan PLLC, a 100-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

11529 Treeview Ct
Moorpark, CA 93021-3734
Phone: (585) 615-5351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA57319 (CA)

Record details

NPI number1659935104
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2019
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address11529 Treeview Ct, Moorpark, CA 93021-3734

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2019 (7 years in practice)
Group practice Pure Psychiatry Of Michigan Pllc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moorpark