Active NPI
Armen a. Shahbazian, MD, a Professional Corporation
- Specialist
- Orange, CA
National Provider Identifier
1821020272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C37327
- Legal business name
- ARMEN A. SHAHBAZIAN, MD, A PROFESSIONAL CORPORATION
- Practice address
- 2617 E Chapman Ave
Suite 102
Orange, CA 92869-3226 - Phone
- (714) 639-1955
- Fax
- (714) 639-1958
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Armen A Shahbazian, M.D.
- Title
- Medical Director
- Phone
- (714) 639-1955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C37327 | CA | Primary |
Addresses
Primary practice location
2617 E Chapman Ave
Suite 102
Orange, CA 92869-3226
Mailing address
2617 E Chapman Ave
Suite 102
Orange, CA 92869-3226
Phone (714) 639-1955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306849542 | Other | CA | SOLE PROVIDER NPI |
| 00C373270 | Medicaid | CA |
Other names 1
- dba Pacific Radiation Oncology Medical Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396310400000",
"number": "1821020272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 E CHAPMAN AVE",
"address_2": "SUITE 102",
"city": "ORANGE",
"state": "CA",
"postal_code": "928693226",
"telephone_number": "714-639-1955",
"fax_number": "714-639-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 E CHAPMAN AVE",
"address_2": "SUITE 102",
"city": "ORANGE",
"state": "CA",
"postal_code": "928693226",
"telephone_number": "714-639-1955",
"fax_number": "714-639-1958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARMEN A. SHAHBAZIAN, MD, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2014-04-01",
"status": "A",
"authorized_official_last_name": "SHAHBAZIAN",
"authorized_official_first_name": "ARMEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "714-639-1955",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "C37327",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOLE PROVIDER NPI",
"identifier": "1306849542",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C373270",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Pacific Radiation Oncology Medical Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.