Active NPI
Shant Kazazian, M.D.
- Internal Medicine Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A94612
- Practice address
- 100 W California Blvd
Pasadena, CA 91105-3010 - Phone
- (626) 352-1444
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A94612 | CA | Primary |
Addresses
Primary practice location
100 W California Blvd
Pasadena, CA 91105-3010
Mailing address
204 E Chevy Chase Dr
Suite 2
Glendale, CA 91205-3157
Phone (818) 545-9090
Other practice location 1
204 E Chevy Chase Dr
Suite 2
Glendale, CA 91205-3157
Phone (818) 545-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4186839 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Southern California Keck School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone (310) 665-7200
204 E Chevy Chase Dr
Suite 1
Glendale, CA 91205-3182
Phone (323) 304-0975
Hospital & facility affiliations
- Huntington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 87.72
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 74.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94612 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Huntington Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Shant Kazazian MD Inc. | Internal Medicine | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients |
Locations
204 E Chevy Chase Dr
Ste 1
Glendale, CA 91205
Phone (323) 304-0975
204 E Chevy Chase Dr
Ste 2
Glendale, CA 91205
Phone (747) 215-6767
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225
2585 E Washington Blvd
Pasadena, CA 91107
Phone (626) 463-4105
65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141
10 Congress St
Ste 208
Pasadena, CA 91105
Phone (626) 792-2166
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
Interoperability endpoints
- shant.kazazian.1@11883.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Pasadena Park Healthcare and Wellness Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Pasadena, CA
- NPI 1528348828
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 4
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1528377694
-
- Internal Medicine Physician
- Pasadena, CA
- NPI 1154467181
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1982646741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E CHEVY CHASE DR",
"address_2": "SUITE 2",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912053157",
"telephone_number": "818-545-9090",
"fax_number": "818-545-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W CALIFORNIA BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053010",
"telephone_number": "626-352-1444"
}
],
"practiceLocations": [
{
"address_1": "204 E Chevy Chase Dr",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912053157",
"country_code": "US",
"telephone_number": "818-545-9090",
"fax_number": "818-545-9098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAZAZIAN",
"first_name": "SHANT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A94612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4186839",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.