Individual provider Active NPI

Shahe Garabedian, M.D.

  • Cardiovascular Disease Physician
  • Mission Hills, CA
National Provider Identifier
1841313772
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A103461 Issued in CA
Practice address
14901 Rinaldi St Ste 110
Mission Hills, CA 91345-1253
Phone
(818) 365-1339
Fax
(818) 898-4301
NPI assigned
Apr 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A103461 CA Primary

Addresses

Primary practice location

14901 Rinaldi St Ste 110
Mission Hills, CA 91345-1253

Mailing address

16542 Ventura Blvd Ste 402
Encino, CA 91436-4562
Phone (818) 782-5041

Other practice location 1

23929 McBean Pkwy Ste 216
Valencia, CA 91355-4468
Phone (661) 259-1534

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shahegarabedian@ccmg.allscriptsdirect.net

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
I20081003000365 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800964891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8000

23929 McBean Pkwy
Suite 216
Valencia, CA 91355-4468
Phone (661) 259-1534

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103461CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants Medical Group Cardiovascular Disease Current Accepting new patients
Cardiovascular Consultants Medical Group CurrentSince Aug 8, 2011 Accepting new patients
Cardiovascular Consultants Medical Group Cardiovascular Disease Current Accepting new patients
Henry Mayo Newhall Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

16542 Ventura Blvd
Ste 402
Encino, CA 91436
Phone (818) 782-5041

14901 Rinaldi St
Ste 110
Mission Hills, CA 91345
Phone (818) 365-1339

18350 Roscoe Blvd
Ste 603
Northridge, CA 91325
Phone (818) 993-8283

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

23929 McBean Pkwy
Ste 216
Valencia, CA 91355
Phone (661) 255-5460

15243 Vanowen St
Ste 301
Van Nuys, CA 91405
Phone (818) 782-5041

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shahegarabedian@carcmg.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75951

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1841313772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364562",
            "telephone_number": "818-782-5041",
            "fax_number": "818-205-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST STE 110",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451253",
            "telephone_number": "818-365-1339",
            "fax_number": "818-898-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23929 McBean Pkwy Ste 216",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554468",
            "country_code": "US",
            "telephone_number": "661-259-1534",
            "fax_number": "661-284-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARABEDIAN",
        "first_name": "SHAHE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A103461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shahegarabedian@ccmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "14901 Rinaldi St Ste 110",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913451253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.