Active NPI
Emanuel Shaoulian, M.D.
- Cardiovascular Disease Physician
- Newport Beach, CA
National Provider Identifier
1194782847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A41353
- Practice address
- 320 Superior Ave Ste 250
Newport Beach, CA 92663-2778 - Phone
- (949) 631-6144
- Fax
- (949) 281-5011
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A41353 | CA | Primary |
Addresses
Primary practice location
320 Superior Ave Ste 250
Newport Beach, CA 92663-2778
Mailing address
320 Superior Ave Ste 280
Newport Beach, CA 92663-6140
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A413530 | Medicaid | CA | |
| 060050288 | Other | RAILROAD MEDICARE | |
| 290-808-5 | Other | CA | ECFMG NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
320 Superior Ave
Suite 250
Newport Beach, CA 92663-2778
Phone (949) 631-6144
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Cardiology Medical Group | Cardiovascular Disease | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Newport Beach, CA
- NPI 1356807937
-
- Cardiovascular Disease Physician
- Newport Beach, CA
- NPI 1245284843
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1194782847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SUPERIOR AVE STE 280",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926636140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SUPERIOR AVE STE 250",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926632778",
"telephone_number": "949-631-6144",
"fax_number": "949-281-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAOULIAN",
"first_name": "EMANUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A41353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A413530",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060050288",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECFMG NUMBER",
"identifier": "290-808-5",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.