Davit Shahbazyan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302904 Issued in CA

Practice address

13027 Victory Blvd # 526
North Hollywood, CA 91606-2925

Phone

(650) 680-8033

NPI assigned

Oct 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Campbell Univ School of Osteopathic Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jam Sports IncGroup PAC ID 8921303959, 3 clinicians

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Jam Sports Inc

  • Physical Therapy Clinic/Center
  • North Hollywood, CA
  • NPI 1962895805

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Hayastan Physical Therapy

  • Physical Therapy Clinic/Center
  • North Hollywood, CA
  • NPI 1588352264
  NPD Authorized official

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1407573967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13027 VICTORY BLVD # 526",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062925",
            "telephone_number": "650-680-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13027 VICTORY BLVD # 526",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062925",
            "telephone_number": "650-680-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10351 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900256908",
            "country_code": "US",
            "telephone_number": "310-286-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHBAZYAN",
        "first_name": "DAVIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katayoon Shafagh, DDS
• Shahab Mahboubian, DO, Inc.
• Shahangian Dental Corp.
• Bahram Shahangian, D.D.S.
• Bita Shahangian, D.D.S.
• Arlet Shamalian, D.O.
• Aram Shamilian, PHARMD
• Shamrock Home Medical Products, Inc
• Joel Shane
• Anton Fedorovich Shanin, FNP

• Physical Therapist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.