NPIMap

Individual provider Active NPI

Shaghig Romofit Chorbajian, MD

  • Family Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1164685111
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A133382 Issued in CA
Practice address
4940 Van Nuys Blvd Ste 200
Sherman Oaks, CA 91403-1741
Phone
(626) 394-8249
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN12609 FL
Family Medicine Physician 207Q00000X ME108674 FL
Hospitalist Physician 208M00000X ME108674 FL
Family Medicine Physician 207Q00000X A133382 CA Primary

Addresses

Primary practice location

4940 Van Nuys Blvd Ste 200
Sherman Oaks, CA 91403-1741

Mailing address

5210 Premiere Hills Cir Apt 237
Woodland Hills, CA 91364-0872

Other identifiers 1

IdentifierTypeStateIssuer
A133382OtherCACALIFORNIA MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625001020 CA Practitioner - Family PracticePractitioner - Internal Medicine 3072784685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-4010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A133382CAMDFamily Medicine Physician
TRN12609FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chorbajian Medical Corp Hospitalist CurrentSince Apr 1, 2017 Accepting new patients
St. Joseph Hospitalist Medical Group, Inc. CurrentSince Feb 1, 2017 Accepting new patients

Locations

2325 W Victory Blvd
Ste 1
Burbank, CA 91506

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1164685111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 PREMIERE HILLS CIR APT 237",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913640872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031741",
            "telephone_number": "626-394-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORBAJIAN",
        "first_name": "SHAGHIG",
        "middle_name": "ROMOFIT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN12609",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108674",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME108674",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A133382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD",
            "identifier": "A133382",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.