Individual provider Active NPI

Shant Kazazian, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
National Provider Identifier
1982646741
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A94612 Issued in CA
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

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4186839MedicaidCA

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
I20070209000298 CA Practitioner - HospitalistPractitioner - Internal Medicine 0941202675 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

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 Hospital, Pasadena, CA, CCN 050438

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
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

LicenseStateTypeSpecialty
A94612CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 1, 2025 Accepting new patients
Shant Kazazian MD Inc. Internal Medicine CurrentSince Sep 22, 2010 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 1, 2025 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Pasadena Park Healthcare and Wellness CenterPasadena, CA, CCN 055548 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.

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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.