NPIMap

Organization Active NPI

George K Shahinian M D Incorporated

  • Pulmonary Disease Physician
  • Aliso Viejo, CA
National Provider Identifier
1811954720
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A63870 Issued in CA
Legal business name
GEORGE K SHAHINIAN M D INCORPORATED
Practice address
11 Mareblu Ste 200
Aliso Viejo, CA 92656-3044
Phone
(949) 521-6060
Fax
(949) 521-6063
NPI assigned
Apr 26, 2006
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Dr. George Kevork Shahinian, M.D.NPI 1487611372
Title
Chief Executive Officer
Phone
(949) 521-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X MFC48217 CA
Cardiovascular Disease Physician 207RC0000X G73846 CA
Pulmonary Disease Physician 207RP1001X A63870 CA Primary

Addresses

Primary practice location

11 Mareblu Ste 200
Aliso Viejo, CA 92656-3044

Mailing address

25467 Nellie Gail Rd
Laguna Hills, CA 92653-6306
Phone (949) 521-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050726000840 CA Part B Supplier - Clinic/Group Practice 9537196076 Receives reassigned benefits from 13 practitioners
Practice locations: Laguna Beach, CA; Aliso Viejo, CA

National Provider Directory

National Provider Directory

Locations

31572 Coast Hwy Ste 201
Laguna Beach, CA 92651

31852 Coast Hwy
Ste 620
Laguna Beach, CA 92651

23521 Paseo de Valencia
Laguna Hills, CA 92653
Phone (949) 588-7262

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1811954720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25467 NELLIE GAIL RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926536306",
            "telephone_number": "949-521-6060",
            "fax_number": "949-521-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAREBLU STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563044",
            "telephone_number": "949-521-6060",
            "fax_number": "949-521-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE K SHAHINIAN M D INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "SHAHINIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "KEVORK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-521-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "MFC48217",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G73846",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A63870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

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

Verify at the official NPI Registry.