Individual provider Active NPI

Lana Danica Shajanian

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1447675202
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98645 Issued in CA
Practice address
3460 Ocean View Blvd Ste E
Glendale, CA 91208
Phone
(818) 632-3723
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 98645 CA Primary

Addresses

Primary practice location

3460 Ocean View Blvd Ste E
Glendale, CA 91208

Mailing address

414 Ross St
Glendale, CA 91207-1453
Phone (818) 632-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1447675202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ROSS ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071453",
            "telephone_number": "818-632-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 OCEAN VIEW BLVD STE E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91208",
            "telephone_number": "818-632-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAJANIAN",
        "first_name": "LANA",
        "middle_name": "DANICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.