Blagovest G Shopski, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95031585 Issued in CA

Practice address

1935 Alpha Rd Unit 232
Glendale, CA 91208-2139

Phone

(310) 666-3791

NPI assigned

Dec 18, 2019

Reactivated

Jan 9, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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.

• La Health Net

  • Home Health Agency
  • Glendale, CA
  • NPI 1164017505
  NPD Authorized official
• Innovative Care Partners

  • Home Health Agency
  • Rancho Cucamonga, CA
  • NPI 1255979233
  NPD

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1891333043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 ALPHA RD UNIT 232",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082139",
            "telephone_number": "310-666-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 ALPHA RD UNIT 232",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082139",
            "telephone_number": "310-666-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPSKI",
        "first_name": "BLAGOVEST",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "deactivation_date": "2021-03-08",
        "reactivation_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95031585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec Shirvanian
• Christine Shirvanian, PTA
• Shant Shirvanian, M.D.
• Gil Z Shlamovitz, MD
• Sandy Shokralla, RPH
• Joyce Show, MD
• Philip R Shupe, DPM
• Heather Noelle Shur, DPT
• Nicolette K Shutty
• Gomelia Sia, NP

• Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.