Individual provider Active NPI

Adena Shahinian, DO

  • Neurology Physician
  • Pasadena, CA
National Provider Identifier
1457708182
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20A18809 Issued in CA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220715001526 CA Practitioner - Neurology 2264702349 Reassigns benefits to 1 organization

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 100Reported as group
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

LicenseStateTypeSpecialty
18809CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Neurology Medical Group, Inc. Single Specialty CurrentSince Jul 11, 2022 Accepting new patients
Southern California Neurology Medical Group, Inc. Single Specialty CurrentSince Jul 11, 2022 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.