Individual provider Active NPI

Shant Shirvanian, M.D.

  • Pulmonary Disease Physician
  • Glendale, CA
National Provider Identifier
1215213566
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A127830 Issued in CA
Practice address
435 Arden Ave Ste 310
Glendale, CA 91203-4014
Phone
(818) 247-6676
Fax
(866) 887-3856
NPI assigned
Nov 1, 2011
Reactivated
Nov 22, 2021
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A127830 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A127830 CA
Pulmonary Disease Physician 207RP1001X A127830 CA Primary

Addresses

Primary practice location

435 Arden Ave Ste 310
Glendale, CA 91203-4014

Mailing address

435 Arden Ave Ste 310
Glendale, CA 91203-4014
Phone (818) 247-6676

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170622002263 CA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7113295775 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Un of California, Riverside, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apex Critical Care Inc a Medical CorpGroup PAC ID 1153832613, 12 clinicians
Altitude Pulmonary and Critical Care AssociatesGroup PAC ID 5597090811, 6 clinicians

Practice addresses (Care Compare)

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 306-1477

435 Arden Ave
Suite 310
Glendale, CA 91203-4014
Phone (818) 625-6117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.29 of 100Reported as individual
Quality
79.25
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A127830CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Altitude Pulmonary and Critical Care Associates Critical Care Medicine CurrentSince Jul 16, 2017 Accepting new patients
Faculty Physicians and Surgeons of Llusm Internal Medicine CurrentSince Jul 16, 2017 Accepting new patients
Bel Air Critical Care Medical Group, Inc. Critical Care Medicine CurrentSince May 1, 2018 Accepting new patients
Willow Brook Critical Care Medical Group, Inc CurrentSince Mar 1, 2020 Accepting new patients
Vista Critical Care Associates Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Apex Critical Care Inc a Medical Corp Critical Care Medicine CurrentSince May 1, 2025 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1505 Wilson Ter
Ste 310
Glendale, CA 91206
Phone (818) 419-2597

1511 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 637-2200

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

435 Arden Ave
Ste 310
Glendale, CA 91203
Phone (818) 247-6676

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

2029 Verdugo Blvd
Montrose, CA 91020
Phone (310) 330-6891

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shant.shirvanian.1@19125.direct.athenahealth.com
  • Direct secure messaging: sshirvanian136167@direct.llu.edu

Organizations & group practices 11

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 4

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1215213566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034014",
            "telephone_number": "818-247-6676",
            "fax_number": "866-887-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034014",
            "telephone_number": "818-247-6676",
            "fax_number": "866-887-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRVANIAN",
        "first_name": "SHANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "deactivation_date": "2021-10-29",
        "reactivation_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A127830",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A127830",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A127830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.