Shirley Christine Mirzaian, MS RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

974811 Issued in CA

Practice address

2155 Verdugo Blvd # 406
Montrose, CA 91020-1628

Phone

(818) 522-9851

NPI assigned

Jul 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shirley.mirzaian.1@15679.direct.athenahealth.com

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.

• SCM Nutrition and Diet Inc

  • Registered Dietitian
  • Glendale, CA
  • NPI 1861017303

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1700048659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 VERDUGO BLVD # 406",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201628",
            "telephone_number": "818-522-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 VERDUGO BLVD # 406",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201628",
            "telephone_number": "818-522-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAIAN",
        "first_name": "SHIRLEY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MS RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "974811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Patrick Miller, DC
• Riley Jameson Miller, DC
• Miracle Pharmacy Inc.
• Miracle Pharmacy Inc.
• Mirror Touch Home Health Inc.
• Sarine Mirzakhanian
• Christina Mitchell, CHRISTINA MITCHELL
• Jessica Lauren Mkrtchyan, L.AC
• Montrose Comfort Living and Care, Inc
• Montrose Healthcare Inc

• Registered Dietitian in Montrose, CA
• Providers in Montrose, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.