Active NPI
Adena Shahinian, DO
- Neurology Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20A18809
- Practice address
- 625 S Fair Oaks Ave Ste 325
Pasadena, CA 91105-2675 - Phone
- (626) 535-9344
- Fax
- (626) 535-9687
- NPI assigned
- May 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | SL1196 | NV | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | 20A18809 | CA | Primary |
Addresses
Primary practice location
625 S Fair Oaks Ave Ste 325
Pasadena, CA 91105-2675
Mailing address
625 S Fair Oaks Ave Ste 325
Pasadena, CA 91105-2675
Phone (626) 535-9344
Other practice location 1
620 Shadow Ln
Las Vegas, NV 89106-4119
Phone (702) 388-8436
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Alabama College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
625 S Fair Oaks Ave
Suite 325
Pasadena, CA 91105-2675
Phone (626) 535-9344
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.62 of 100
- Quality
- 49.82
- Improvement activities
- 40
- Cost
- 74.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18809 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Neurology Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Southern California Neurology Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
Locations
625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Neurology Physician
- Pasadena, CA
- NPI 1639461825
Single Specialty
-
- Neurology Physician
- Glendale, CA
- NPI 1407236466
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457708182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S FAIR OAKS AVE STE 325",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052675",
"telephone_number": "626-535-9344",
"fax_number": "626-535-9687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S FAIR OAKS AVE STE 325",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052675",
"telephone_number": "626-535-9344",
"fax_number": "626-535-9687"
}
],
"practiceLocations": [
{
"address_1": "620 Shadow Ln",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891064119",
"country_code": "US",
"telephone_number": "702-388-8436",
"fax_number": "702-388-8431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAHINIAN",
"first_name": "ADENA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2022-07-21",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NV",
"license": "SL1196",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "20A18809",
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.