Organization Active NPI

Shan a Nathan MD a Professional Corporation

  • Pulmonary Disease Physician
  • Lancaster, CA
National Provider Identifier
1124287768
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SHAN A NATHAN MD A PROFESSIONAL CORPORATION
Practice address
1331 W Avenue J
Suite 101
Lancaster, CA 93534
Phone
(661) 945-8717
Fax
(661) 945-4867
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Shan A Nathan, M.D.
Title
President
Phone
(991) 945-8717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A31010 CA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1331 W Avenue J
Suite 101
Lancaster, CA 93534

Mailing address

44215 15TH St W Ste 203
Lancaster, CA 93534-5504
Phone (661) 726-6599

Other practice location 1

1331 W Avenue J
Suite 101
Lancaster, CA 93534-2942
Phone (661) 945-8717

Other practice location 2

44215 15th St W Ste 203
Lancaster, CA 93534-5504
Phone (661) 726-6599

National Provider Directory

National Provider Directory

Locations

1331 W Avenue J
Ste 101B
Lancaster, CA 93534
Phone (661) 945-8717

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1124287768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 203",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345504",
            "telephone_number": "661-726-6599",
            "fax_number": "661-726-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W AVENUE J",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-945-8717",
            "fax_number": "661-945-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 W Avenue J",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342942",
            "country_code": "US",
            "telephone_number": "661-945-8717",
            "fax_number": "661-945-4867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44215 15th St W Ste 203",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935345504",
            "country_code": "US",
            "telephone_number": "661-726-6599",
            "fax_number": "661-726-6597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAN A NATHAN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "SHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "991-945-8717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A31010",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.