Individual provider Active NPI

Sharis Nazarian Rostamian, PSYD

  • Clinical Neuropsychologist
  • Arcadia, CA
National Provider Identifier
1720284854
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY25134 Issued in CA
Practice address
5522 Gracewood Ave
Arcadia, CA 91007-8409
Phone
(818) 426-7736
NPI assigned
Jun 25, 2007
Last updated
Mar 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY25134 CA Primary

Addresses

Primary practice location

5522 Gracewood Ave
Arcadia, CA 91007-8409

Mailing address

508 Glenwood Rd Apt 303
Glendale, CA 91202-4501
Phone (818) 426-7736

Other names 1

  • Dr. Sharis Nazarian Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1720284854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GLENWOOD RD APT 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024501",
            "telephone_number": "818-426-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 GRACEWOOD AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078409",
            "telephone_number": "818-426-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTAMIAN",
        "first_name": "SHARIS",
        "middle_name": "NAZARIAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY25134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARIS",
            "last_name": "NAZARIAN",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.