Marcar Shadarevian

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

2837 Honolulu Ave.
Glendale, CA 91214

Phone

(818) 244-5497

Fax

(818) 244-2822

NPI assigned

Nov 19, 2007

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

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Verdugo Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Verdugo, CA
  • NPI 1255926978
  NPD Authorized official
• Olivia's Home Health Care, Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1336890045
  NPD

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1790966760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 HONOLULU AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91214",
            "telephone_number": "818-244-5497",
            "fax_number": "818-244-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 HONOLULU AVE.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91214",
            "telephone_number": "818-244-5497",
            "fax_number": "818-244-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADAREVIAN",
        "first_name": "MARCAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02448F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keristineh Seyfi, FNP
• Sha Home Health Care, Inc.
• Siouneh Shabandari, MSW
• Elena Shabani, D.D.S
• Narbeh Shabani
• Malissa Kei Shadle, DPT
• Aline Shafrazian, R.D.
• Ara Shafrazian
• Kristina Shagramanova
• Natalya Shagramanova

• Durable Medical Equipment & Medical Supplies in Glendale, CA
• Providers in Glendale, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.