Gayaneh Shirvanian, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA63551 Issued in CA

Practice address

201 S Buena Vista St Ste 310
Burbank, CA 91505-4569

Phone

(818) 561-4533

Fax

(818) 561-4534

NPI assigned

Oct 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gayaneh Shirvanian Namagardi Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Los Angeles Food Allergy Institute, Inc.

  • Allergy Physician
  • Burbank, CA
  • NPI 1215558341

  CA

  Medicare reassignment NPD
• Pasadena Hospital Association, LTD.

  • Psychiatric Hospital Unit
  • Pasadena, CA
  • NPI 1437121142
  NPD (past)

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1801668595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FAIRVIEW AVE APT 11",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077132",
            "telephone_number": "818-455-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-561-4533",
            "fax_number": "818-561-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRVANIAN",
        "first_name": "GAYANEH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYANEH",
            "last_name": "SHIRVANIAN NAMAGARDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raymond Vee Hon Shing, DPT
• William D. Shipman, MD, PHD
• Behzad Shirazi-Ardestani, D.D.S.
• Michael Shirvani, DDS
• Ciara L Shirvanian, M.D..
• Diane Shivaie
• Veronika Shmelkova
• Raymond Allen Shofler, MD
• Mojgan Shokri, DDS
• Tyler Sholan

• All providers in Burbank, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.