Individual provider Active NPI

Armin Shaverdian, PT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1710158944
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34535 Issued in CA
Practice address
7644 Volclay Dr
San Diego, CA 92119-1220
Phone
(858) 412-9349
Fax
(619) 568-3313
NPI assigned
Mar 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34535 CA Primary

Addresses

Primary practice location

7644 Volclay Dr
San Diego, CA 92119-1220

Mailing address

23931 Wanigan Way
Laguna Niguel, CA 92677-4205
Phone (619) 818-1704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Home Health Services LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1205539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1710158944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23931 WANIGAN WAY",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774205",
            "telephone_number": "619-818-1704",
            "fax_number": "619-568-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7644 VOLCLAY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191220",
            "telephone_number": "858-412-9349",
            "fax_number": "619-568-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVERDIAN",
        "first_name": "ARMIN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-15",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.