Individual provider Active NPI

George Kevork Shahinian, M.D.

  • Pulmonary Disease Physician
  • Aliso Viejo, CA
National Provider Identifier
1487611372
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A63870 Issued in CA
Practice address
11 Mareblu Ste 200
Aliso Viejo, CA 92656-3044
Phone
(949) 521-6060
Fax
(949) 521-6063
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A63870 CA Primary

Addresses

Primary practice location

11 Mareblu Ste 200
Aliso Viejo, CA 92656-3044

Mailing address

25467 Nellie Gail Rd
Laguna Hills, CA 92653-6306
Phone (949) 521-6060

Other identifiers 1

IdentifierTypeStateIssuer
00A638700MedicaidCA

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
I20050727001034 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5092614032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
George K Shahinian M D IncorporatedGroup PAC ID 9537196076, 7 clinicians

Practice addresses (Care Compare)

31852 Coast Hwy
Suite 201
Laguna Beach, CA 92651-6765
Phone (949) 715-0505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.28 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63870CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahinian Espeleta Pulmonary Associates Incorporated Pulmonary Disease PastSince Dec 1, 2008 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Central Pennsylvania Pulmonary Associates LLC Pulmonary Disease Past Accepting new patients
Doctors Medical Equipment LLC PastSince May 6, 2025 Accepting new patients
Sleep Disorder Centers of Central Pennsylvania, Inc. Pulmonary Disease PastSince Jun 2, 2004 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Seasons of Life Hospice, LLCLake Forest, CA, CCN 551773 Hospice 5% Or Greater Direct Ownership Interest (14.28%)
Corporate Director (33.33%)
Apr 3, 2017
Jun 8, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 7

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1487611372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25467 NELLIE GAIL RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926536306",
            "telephone_number": "949-521-6060",
            "fax_number": "949-521-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAREBLU STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563044",
            "telephone_number": "949-521-6060",
            "fax_number": "949-521-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHINIAN",
        "first_name": "GEORGE",
        "middle_name": "KEVORK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A63870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A638700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.