Active NPI
Sharis Nazarian Rostamian, PSYD
- Clinical Neuropsychologist
- Arcadia, CA
National Provider Identifier
1720284854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY25134
- Practice address
- 5522 Gracewood Ave
Arcadia, CA 91007-8409 - Phone
- (818) 426-7736
- NPI assigned
- Jun 25, 2007
- Last updated
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.