Organization Active NPI

Shirvanian Medical Inc

  • Pulmonary Disease Physician
  • Glendale, CA
National Provider Identifier
1548746571
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SHIRVANIAN MEDICAL INC
Practice address
435 Arden Ave Ste 310
Glendale, CA 91203-4014
Phone
(818) 247-6676
Fax
(866) 887-3856
NPI assigned
Jul 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Dr. Shant Shirvanian, MD
Title
Ceo
Phone
(818) 247-6676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

435 Arden Ave Ste 310
Glendale, CA 91203-4014

Mailing address

435 Arden Ave Ste 310
Glendale, CA 91203-4014
Phone (818) 247-6676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1548746571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034014",
            "telephone_number": "818-247-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034014",
            "telephone_number": "818-247-6676",
            "fax_number": "866-887-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRVANIAN MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "SHIRVANIAN",
        "authorized_official_first_name": "SHANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-247-6676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.