Organization Active NPI

Sharon Yegiaian MD Inc

  • Neurology Physician
  • Pasadena, CA
National Provider Identifier
1366800443
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A117162 Issued in CA
Legal business name
SHARON YEGIAIAN MD INC
Practice address
139 S Los Robles Ave Unit B020
Pasadena, CA 91101-2488
Phone
(626) 626-7670
Fax
(626) 818-4155
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Sharon Yegiaian, M.D.NPI 1225226301
Title
President
Phone
(626) 626-7670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A117162 CA Primary

Addresses

Primary practice location

139 S Los Robles Ave Unit B020
Pasadena, CA 91101-2488

Mailing address

434 E Cedar Ave Unit 103
Burbank, CA 91501-3423
Phone (626) 626-7670

Other identifiers 1

IdentifierTypeStateIssuer
A117162OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160414000540 CA Part B Supplier - Clinic/Group Practice 5294033833 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2304941Sharon Yegiaian MD Inc139 S Los Robles Ave Suite B020, Pasadena, CA 91101Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

139 S Los Robles Ave
Unit B020
Pasadena, CA 91101
Phone (626) 626-7670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1366800443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 E CEDAR AVE UNIT 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013423",
            "telephone_number": "626-626-7670",
            "fax_number": "626-818-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 S LOS ROBLES AVE UNIT B020",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012488",
            "telephone_number": "626-626-7670",
            "fax_number": "626-818-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON YEGIAIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "YEGIAIAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-626-7670",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A117162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A117162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.