NPIMap

Individual provider Active NPI

Ara Shafrazian

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1053706234
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A150867 Issued in CA
Practice address
900 W Glenoaks Blvd Ste D
Glendale, CA 91202-2664
Phone
(818) 241-4129
Fax
(818) 241-0472
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A150867 CA Primary

Addresses

Primary practice location

900 W Glenoaks Blvd Ste D
Glendale, CA 91202-2664

Mailing address

900 W Glenoaks Blvd Ste D
Glendale, CA 91202-2664
Phone (818) 241-4129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116001761 CA Practitioner - Family Practice 1850682923 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stay Healthy Community Health CenterGroup PAC ID 4789177700, 4 clinicians
Libertymed Health Group IncGroup PAC ID 4880921485, 3 clinicians

Practice addresses (Care Compare)

11500 Burbank Blvd
North Hollywood, CA 91601-2308
Phone (818) 599-9971

900 W Glenoaks Blvd
Suite D
Glendale, CA 91202-2664
Phone (818) 241-4129

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
94.32
Promoting interoperability
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A150867CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Sep 15, 2018 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Sep 15, 2018 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Stay Healthy Community Health Center CurrentSince Nov 3, 2025 Accepting new patients
Libertymed Health Group Inc Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Hidden Hills Hospice and Palliative Care, LLC PastSince Apr 1, 2020 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

900 W Glenoaks Blvd
Ste D
Glendale, CA 91202
Phone (818) 241-4129

435 Arden Ave
Ste 450
Glendale, CA 91203
Phone (818) 241-4129

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

11500 Burbank Blvd
North Hollywood, CA 91601
Phone (818) 599-9971

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ara.shafrazian.1@23410.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEIIDD/Endpoint/AEIIDD
  • FHIR API: https://api.platform.athenahealth.com/23410/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Graceful Palms Hospice and Palliative Care CorpPalmdale, CA, CCN 551644 Hospice W-2 Managing Employee Apr 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1053706234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W GLENOAKS BLVD STE D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022664",
            "telephone_number": "818-241-4129",
            "fax_number": "818-241-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W GLENOAKS BLVD STE D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022664",
            "telephone_number": "818-241-4129",
            "fax_number": "818-241-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFRAZIAN",
        "first_name": "ARA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A150867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.