Organization Active NPI

Garabed Nishanian, M.D., a Medical Corporation

  • Vascular Surgery Physician
  • Mission Viejo, CA
National Provider Identifier
1841557576
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A52537 Issued in CA
Legal business name
GARABED NISHANIAN, M.D., A MEDICAL CORPORATION
Practice address
26800 Crown Valley Pkwy Ste 420
Mission Viejo, CA 92691-8023
Phone
(949) 429-8840
Fax
(949) 347-9647
NPI assigned
Apr 19, 2012
Last updated
Apr 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Garabed Nishanian, M.D.NPI 1336297290
Title
Owner/President
Phone
(949) 429-8840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A52537 CA Primary

Addresses

Primary practice location

26800 Crown Valley Pkwy Ste 420
Mission Viejo, CA 92691-8023

Mailing address

4740 Los Feliz Blvd
Los Angeles, CA 90027-1918
Phone (949) 429-8840

National Provider Directory

National Provider Directory

Locations

26800 Crown Valley Pkwy
Ste 420
San Juan Capistrano, CA 92691
Phone (949) 429-8840

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1841557576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 LOS FELIZ BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271918",
            "telephone_number": "949-429-8840",
            "fax_number": "949-347-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 420",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918023",
            "telephone_number": "949-429-8840",
            "fax_number": "949-347-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARABED NISHANIAN, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "NISHANIAN",
        "authorized_official_first_name": "GARABED",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-429-8840",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A52537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.