Individual provider Active NPI

Sharon Bazan, AS, RRT, RPFT.

  • Pulmonary Function Technologist Registered Respiratory Therapist
  • Long Beach, CA
National Provider Identifier
1346072634
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Function Technologist Registered Respiratory TherapistTaxonomy code 2279P1006X
License
35217 Issued in CA
Practice address
PO Box 416
Long Beach, CA 90801-0416
Phone
(626) 833-8741
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 35217 CA
Educational Registered Respiratory Therapist 2279E1000X 35217 CA
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X 35217 CA
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X 35217 CA
Pulmonary Function Technologist Registered Respiratory Therapist 2279P1006X 35217 CA Primary

Addresses

Primary practice location

PO Box 416
Long Beach, CA 90801-0416

Mailing address

PO Box 416
Long Beach, CA 90801-0416
Phone (626) 833-8741

Other practice location 1

2642 Bloomdale St
Duarte, CA 91010-2203
Phone (626) 833-8741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Associate of Science

State licenses

LicenseStateTypeSpecialty
35217CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1346072634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908010416",
            "telephone_number": "626-833-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908010416",
            "telephone_number": "626-833-8741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2642 Bloomdale St",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910102203",
            "country_code": "US",
            "telephone_number": "626-833-8741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZAN",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "AS, RRT, RPFT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "35217",
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "CA",
            "license": "35217",
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "CA",
            "license": "35217",
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "CA",
            "license": "35217",
            "primary": false
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "CA",
            "license": "35217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.