Individual provider Active NPI

David Nazarian, MD

  • Specialist
  • Tarzana, CA
National Provider Identifier
1740461466
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A102096 Issued in CA
Practice address
18425 Burbank Blvd
Suite 105
Tarzana, CA 91356
Phone
(818) 343-1401
Fax
(818) 343-1930
NPI assigned
Nov 21, 2007
Last updated
Nov 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A102096 CA Primary

Addresses

Primary practice location

18425 Burbank Blvd
Suite 105
Tarzana, CA 91356

Mailing address

18425 Burbank Blvd
Suite 105
Tarzana, CA 91356
Phone (818) 343-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000397 CA Practitioner - Internal Medicine 9739248352 Practice locations: Los Angeles, CA; Pasadena, CA; Arcadia, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hooman Shabatian MD, a Medical Corporation Specialist PastSince Mar 1, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group Past Accepting new patients
Southern California Hospitalist Network Medical Group Inc PastSince Jan 25, 2001 Accepting new patients
Motion Picture and Television Fund Medical Group, Inc Past Accepting new patients
West la Ms Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IACGCA/Endpoint/IACGCA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1740461466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 105",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-343-1401",
            "fax_number": "818-343-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 105",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-343-1401",
            "fax_number": "818-343-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIAN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A102096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.