Parnian Changizzadeh, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

61157 Issued in AZ

Practice address

1851 Mesquite Ave Ste 202
Lake Havasu City, AZ 86403-5681

Phone

(928) 854-0094

Fax

(928) 680-8986

NPI assigned

Apr 7, 2017

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
• Direct secure messaging: lci5933@yourcarecommunity.org

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.

• HRMC, LLC

  dba Cancer Care of Western Arizona

  • Hematology & Oncology Physician
  • Lake Havasu City, AZ
  • NPI 1003139387
  NPD
• Havasu Regional Medical Center LLC

  dba Havasu Regional Medical Center

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866
  NPD (past)
• HRMC, LLC

  dba Diabetes and Endocrine Center

  • Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1891155974
  NPD (past)

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1205369162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 MESQUITE AVE STE 202",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035681",
            "telephone_number": "928-854-0094",
            "fax_number": "928-680-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MESQUITE AVE STE 202",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035681",
            "telephone_number": "928-854-0094",
            "fax_number": "928-680-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGIZZADEH",
        "first_name": "PARNIAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "61157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Alan Carver, DDS
• Louise Catapano
• Roxanne Jean Cedor, P.T., DPT
• Stephanie Rose Centera, SLP
• Roberto De Alba Cervera, M.D.
• Orrie Charger Jr., B.A.
• Pratana Charoenphol
• Hitendra Chauhan, M.D.
• Abbas Muzafar Cheema, MD
• Rachel Cheyney, LCSW

• Pediatrics Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.