Shushanik Gaboian

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

77193 Issued in CA

Practice address

10605 Balboa Blvd
Granada Hills, CA 91344-6342

Phone

(818) 832-2400

NPI assigned

Sep 18, 2013

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Los Angeles County Department of Mental Health

  dba GENESIS Countywide Older Adult Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1083633929
  Medicare reassignment NPD
• Shushanik Gaboian Licensed Clinical Social Worker Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Encino, CA
  • NPI 1386333201
  NPD Authorized official
• Los Angeles County Department of Mental Health

  dba Santa Clarita Valley Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valencia, CA
  • NPI 1790718112
  NPD

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1730515131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18440 HATTERAS ST. APT 34",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561393",
            "telephone_number": "323-907-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446342",
            "telephone_number": "818-832-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOIAN",
        "first_name": "SHUSHANIK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "62996",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "77193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Penn Furukawa, LCSW
• Future Medical Transportation Inc.
• Future Senior Living
• Future Senior Living (Future Senior Living 1)
• Future Senior Living 2
• Nikki Carelli Gabriel, MFT
• Makroui Gabrielian, FNP
• Nowelle M Gaid, PA-C
• Bruce Gaines
• Eun J Gak, PHARM.D.

• Clinical Social Worker in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.