NPIMap

Organization Active NPI

Doa Professional Corporation

  • General Practice Physician
  • Santa Clarita, CA
National Provider Identifier
1073399804
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DOA PROFESSIONAL CORPORATION
Practice address
24335 Magic Mountain Pkwy
Santa Clarita, CA 91355-3402
Phone
(818) 624-1290
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Vaheh Shirvanian, MDNPI 1467862920
Title
MD
Phone
(818) 624-1290

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

24335 Magic Mountain Pkwy
Santa Clarita, CA 91355-3402

Mailing address

3893 Villa Vista PL
Concord, CA 94521-2028
Phone (818) 624-1290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104003512 CA Part B Supplier - Clinic/Group Practice 0042661969 Receives reassigned benefits from 12 practitioners
Practice locations: Santa Clarita, CA

National Provider Directory

National Provider Directory

Locations

24335 Magic Mountain Pkwy
Valencia, CA 91355
Phone (818) 624-1290

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00399

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1073399804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3893 VILLA VISTA PL",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945212028",
            "telephone_number": "818-624-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24335 MAGIC MOUNTAIN PKWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913553402",
            "telephone_number": "818-624-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "SHIRVANIAN",
        "authorized_official_first_name": "VAHEH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "818-624-1290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.