Shahen Ghazarian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35398 Issued in CA

Practice address

433 N Montebello Blvd
Montebello, CA 90640-4222

Phone

(323) 722-2922

Fax

(323) 722-2760

NPI assigned

Jul 29, 2005

Last updated

Jun 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 8, 2023 through Nov 8, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• S. Ghazarian DDS., Inc.

  • Dental Clinic/Center
  • Montebello, CA
  • NPI 1578863395
  NPD (past) Authorized official

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1710987797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404222",
            "telephone_number": "323-722-2922",
            "fax_number": "323-722-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404222",
            "telephone_number": "323-722-2922",
            "fax_number": "323-722-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZARIAN",
        "first_name": "SHAHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B35398-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garfield Beach CVS LLC (CVS Pharmacy #09857)
• Garfield Beach CVS, L.L.C. (CVS Pharmacy #09757)
• Gastroenterology Associates of Southern California
• Gentle Hands Home Health Agency Inc
• George Caballero, LCSW Inc
• Giatros Clinic
• Rachel Gioja, RN
• Leonid Glosman, DDS
• Glowing Smile Hospice
• Katherine Angela Gochingco, FNP-C

• General Practice Dentistry in Montebello, CA
• Providers in Montebello, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.