NPIMap

Organization Active NPI

S Shahnazarians DDS a Professional Corp

  • Preferred Provider Organization
  • Pasadena, CA
National Provider Identifier
1043660004
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
57036 Issued in CA
Legal business name
S SHAHNAZARIANS DDS A PROFESSIONAL CORP
Practice address
859 N Fair Oaks Ave
Unit 120
Pasadena, CA 91103-3076
Phone
(626) 765-9758
Fax
(626) 765-9760
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sevetlana ShahnazariansNPI 1114181872
Title
Owner/Dentist
Phone
(626) 765-9758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 57036 CA Primary

Addresses

Primary practice location

859 N Fair Oaks Ave
Unit 120
Pasadena, CA 91103-3076

Mailing address

859 N Fair Oaks Ave Ste 120
Pasadena, CA 91103-3078
Phone (626) 765-9758

National Provider Directory

National Provider Directory

Locations

859 N Fair Oaks Ave
Ste 120
Pasadena, CA 91103
Phone (626) 765-6104

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1043660004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 N FAIR OAKS AVE STE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033078",
            "telephone_number": "626-765-9758",
            "fax_number": "626-765-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 N FAIR OAKS AVE",
            "address_2": "UNIT 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033076",
            "telephone_number": "626-765-9758",
            "fax_number": "626-765-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S SHAHNAZARIANS DDS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "SHAHNAZARIANS",
        "authorized_official_first_name": "SEVETLANA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "626-765-9758"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "57036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.