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

Shivam Patel

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1053986992

Shivam Patel is a Podiatry in Los Angeles, California. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2021, 5 years ago. Practices with Los Angeles Institute of Foot and Ankle Surgery, Inc, a 7-clinician group. Licensed in California.

Years since qualifying
5
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5978 (CA)

Record details

NPI number1053986992
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2021
Last updated in NPPESMarch 9, 2024
Certification dateMarch 9, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2021 (5 years in practice)
Group practice Los Angeles Institute Of Foot And Ankle Surgery, Inc. — 7 clinicians
Accepts Medicare assignment Not indicated

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