Shadyglade Recovery Center, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SHADYGLADE RECOVERY CENTER, INC

Practice address

4343 Shadyglade Ave
Studio City, CA 91604-1669

Phone

(424) 202-2000

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Arshak Gasparyan

Title

Ceo

Phone

(424) 202-2000

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Chaghouri, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1932472883
  NPD (past)

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1588486807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SHADYGLADE AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041669",
            "telephone_number": "424-202-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHADYGLADE AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041669",
            "telephone_number": "424-202-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADYGLADE RECOVERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "GASPARYAN",
        "authorized_official_first_name": "ARSHAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-202-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selective Hospice Inc
• Marc D Selner, D.P.M.
• John David Serata, M.A. MFT
• Anton Serzhan, PSY.D
• Carmen Sevilla
• Sanaz Michelle Shaghaghi, FNP-BC
• Rouya Shamsai, OD
• Randi Shannahan, PT, DPT
• Arielle Shapiro, LCSW
• Joseph Shapiro, MD

• Substance Abuse Rehabilitation Facility in Studio City, CA
• Providers in Studio City, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.