NPIMap

Organization Active NPI

Wecare Shan Inc

Doing business as None

  • Family Medicine Physician
  • Canoga Park, CA
National Provider Identifier
1043850662
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WECARE SHAN INC
Doing business as
None
Practice address
21041 Parthenia St Unit 158
Canoga Park, CA 91304-2080
Phone
(818) 267-8479
Fax
(818) 450-0272
NPI assigned
Jan 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Mr. Petros Hajian
Title
Administrator/Executive Director
Phone
(818) 267-8479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

21041 Parthenia St Unit 158
Canoga Park, CA 91304-2080

Mailing address

21041 Parthenia St Unit 158
Canoga Park, CA 91304-2080
Phone (818) 267-8479

Other names 1

  • NONE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1043850662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21041 PARTHENIA ST UNIT 158",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913042080",
            "telephone_number": "818-267-8479",
            "fax_number": "818-450-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21041 PARTHENIA ST UNIT 158",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913042080",
            "telephone_number": "818-267-8479",
            "fax_number": "818-450-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WECARE SHAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-11",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "HAJIAN",
        "authorized_official_first_name": "PETROS",
        "authorized_official_title_or_position": "ADMINISTRATOR/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-267-8479",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.