Organization Active NPI

George K Shahinian MD Inc

  • Medical Physician Assistant
  • Laguna Hills, CA
National Provider Identifier
1104282888
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
53145 Issued in CA
Legal business name
GEORGE K SHAHINIAN MD INC
Practice address
24411 Health Center Dr Ste 620
Laguna Hills, CA 92653-3672
Phone
(949) 521-6060
Fax
(949) 521-6063
NPI assigned
Jan 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Ms. Dori Lynn Wilson
Title
Office Manager
Phone
(949) 521-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 53145 CA Primary

Addresses

Primary practice location

24411 Health Center Dr Ste 620
Laguna Hills, CA 92653-3672

Mailing address

24411 Health Center Dr Ste 620
Laguna Hills, CA 92653-3672
Phone (949) 521-6060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1104282888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR STE 620",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533672",
            "telephone_number": "949-521-6060",
            "fax_number": "949-521-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR STE 620",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533672",
            "telephone_number": "949-521-6060",
            "fax_number": "949-521-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE K SHAHINIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DORI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-521-6060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.