Active NPI
Iradj H Nazarian, MD
- General Practice Physician
- Huntington Park, CA
National Provider Identifier
1083753321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A43573
- Practice address
- 7136 Pacific Blvd
Ste 225
Huntington Park, CA 90255-4783 - Phone
- (323) 588-5467
- NPI assigned
- Feb 5, 2007
- Last updated
- Mar 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A43573 | CA | Primary |
Addresses
Primary practice location
7136 Pacific Blvd
Ste 225
Huntington Park, CA 90255-4783
Mailing address
7136 Pacific Blvd
Ste 225
Huntington Park, CA 90255-4783
Phone (323) 588-5467
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0700622 | Other | CA | CLIA # |
| 00A435731 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43573 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iraj Nazarian MD, Inc Medical Clinic | Current | Accepting new patients | |
| Cure4Feet Podiatry Group Inc | Past | Accepting new patients | |
| United Medical Care Center Inc. | Past | Accepting new patients | |
| Epyc Diagnostics LLC | Past | Accepting new patients |
Locations
7136 Pacific Blvd
Ste 225
Huntington Pk, CA 90255
Phone (323) 249-4949
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- General Practice Physician
- Huntington Park, CA
- NPI 1619020724
-
- Point of Service
- Huntington Park, CA
- NPI 1306041074
-
- Foot & Ankle Surgery Podiatrist
- North Hollywood, CA
- NPI 1104149269
-
dba Biomedical Diagnostics Laboratory
- Clinical Medical Laboratory
- Canoga Park, CA
- NPI 1619306628
-
- Specialist
- San Bernardino, CA
- NPI 1467590323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1083753321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7136 PACIFIC BLVD",
"address_2": "STE 225",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554783",
"telephone_number": "323-588-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7136 PACIFIC BLVD",
"address_2": "STE 225",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554783",
"telephone_number": "323-588-5467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIAN",
"first_name": "IRADJ",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A43573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA #",
"identifier": "05D0700622",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A435731",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.