Individual provider Active NPI

Garabed P. Nishanian, MD

  • Vascular Surgery Physician
  • Irvine, CA
National Provider Identifier
1336297290
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A52537 Issued in CA
Practice address
16100 Sand Canyon Ave
Suite #350
Irvine, CA 92618-3716
Phone
(949) 429-8840
Fax
(949) 347-9647
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A52537 CA Primary

Addresses

Primary practice location

16100 Sand Canyon Ave
Suite #350
Irvine, CA 92618-3716

Mailing address

16100 Sand Canyon Ave
Suite #350
Irvine, CA 92618-3716
Phone (949) 429-8840

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
I20050325000784 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 8123074788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Tulane University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16100 Sand Canyon Ave
Irvine, CA 92618-3716

16100 Sand Canyon Ave
Suite 350
Irvine, CA 92618-3717
Phone (949) 429-8840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal218
Leg revascularization (restoring blood flow)1-10
Removal of tissue30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A52537CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular and Endovascular Institute of Orange County, a Medical Corpor Vascular Surgery CurrentSince Nov 1, 2007 Accepting new patients
University Surgeons of Orange a Medical Group Vascular Surgery CurrentSince Mar 9, 2010 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

16100 Sand Canyon Ave
Ste 350
Irvine, CA 92618
Phone (949) 429-8840

101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Interoperability endpoints

  • Direct secure messaging: gnishanian150739@direct.whhs.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1336297290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE",
            "address_2": "SUITE #350",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183716",
            "telephone_number": "949-429-8840",
            "fax_number": "949-347-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE",
            "address_2": "SUITE #350",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183716",
            "telephone_number": "949-429-8840",
            "fax_number": "949-347-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHANIAN",
        "first_name": "GARABED",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A52537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.