Active NPI
Shan a Nathan MD a Professional Corporation
- Pulmonary Disease Physician
- Lancaster, CA
National Provider Identifier
1124287768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A31010 | CA | |
| Pulmonary Disease Physician | 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 DirectoryLocations
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.