Active NPI
Hoda Shirazian
- Diagnostic Radiology Physician
- La Jolla, CA
National Provider Identifier
1053949628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- BP10074424
- Practice address
- 9500 Gilman Dr
La Jolla, CA 92093-5004 - Phone
- (818) 224-8469
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | BP10074424 | TX | Primary |
Addresses
Primary practice location
9500 Gilman Dr
La Jolla, CA 92093-5004
Mailing address
9500 Gilman Dr
La Jolla, CA 92093-5004
Phone (818) 224-8469
Other practice location 1
301 University Blvd
Galveston, TX 77555-0709
Phone (409) 747-2849
Other practice location 2
1000 W Carson St # 461
Torrance, CA 90502-2059
Phone (424) 306-8070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10074424 | TX | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1053949628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 GILMAN DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920935004",
"telephone_number": "818-224-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 GILMAN DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920935004",
"telephone_number": "818-224-8469"
}
],
"practiceLocations": [
{
"address_1": "301 University Blvd",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775550709",
"country_code": "US",
"telephone_number": "409-747-2849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W Carson St # 461",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022059",
"country_code": "US",
"telephone_number": "424-306-8070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIRAZIAN",
"first_name": "HODA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "BP10074424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.