Individual provider Active NPI

Michael Shahangian, M.D.

  • Specialist
  • Ridgecrest, CA
National Provider Identifier
1437188604
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A31455 Issued in CA
Practice address
1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone
(760) 446-0642
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A31455 CA Primary

Addresses

Primary practice location

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130

Mailing address

17151 Newhope St
Suite 201
Fountain Valley, CA 92708-4226
Phone (714) 754-5600

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
I20090202000289 CA Practitioner - Diagnostic Radiology 8022013051 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging and Intervention IncGroup PAC ID 4486178332, 9 clinicians
Reza Shahbaz MD IncGroup PAC ID 6800209180, 10 clinicians

Practice addresses (Care Compare)

1111 W la Palma Ave
Anaheim, CA 92801-2804
Phone (714) 999-3847

2701 S Bristol St
Santa Ana, CA 92704-6201
Phone (949) 800-9744

Hospital & facility affiliations

  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
  • Huntington Beach Hospital Hospital, Huntington Beach, CA, CCN 050526
  • Garden Grove Hospital & Medical Center Hospital, Garden Grove, CA, CCN 050230
  • La Palma Intercommunity Hospital Hospital, La Palma, CA, CCN 050580
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A31455CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Imaging and Intervention Inc CurrentSince Oct 1, 2025 Accepting new patients
John P Anderson MD Russell M Perry MD and Mark a Sharzer MD a Med CRP CurrentSince Jan 1, 2016 Accepting new patients
Reza Shahbaz MD Inc CurrentSince Nov 12, 2023 Accepting new patients
Downey Radiology Associates CurrentSince Oct 15, 2015 Accepting new patients
Cedars-Sinai Imaging Medical Group a Professional Corporation Past Accepting new patients
Quantum Medical Radiology PC Past Accepting new patients

Locations

3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

875 N Brea Blvd
Brea, CA 92821
Phone (714) 529-6842

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

5525 W Slauson Ave
Los Angeles, CA 90056
Phone (310) 642-0325

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

Organizations & group practices 6

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 6

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1437188604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17151 NEWHOPE ST",
            "address_2": "SUITE 201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084226",
            "telephone_number": "714-754-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "760-446-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHANGIAN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A31455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.