Active NPI
Hovhannes Shahbazyan
- Non-emergency Medical Transport (VAN)
- Glendale, CA
National Provider Identifier
1396024907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- B9937897
- Practice address
- 417 Arden Ave
Suite 112D
Glendale, CA 91203-4045 - Phone
- (818) 257-0111
- Fax
- (818) 556-3777
- NPI assigned
- Aug 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | B9937897 | CA | Primary |
Addresses
Primary practice location
417 Arden Ave
Suite 112D
Glendale, CA 91203-4045
Mailing address
417 Arden Ave
Suite 112D
Glendale, CA 91203-4045
Phone (818) 257-0111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B9937897 | CA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1396024907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 ARDEN AVE",
"address_2": "SUITE 112D",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034045",
"telephone_number": "818-257-0111",
"fax_number": "818-556-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 ARDEN AVE",
"address_2": "SUITE 112D",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034045",
"telephone_number": "818-257-0111",
"fax_number": "818-556-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHBAZYAN",
"first_name": "HOVHANNES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-12",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": "B9937897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.