DR. SHAHIN DERBOGHOSSIANS (NPI# 1710915038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710915038 |
| Entity Type | Individual |
| Full Name | DR. SHAHIN DERBOGHOSSIANS |
| Credential | MD |
| Practice Address |
116 S Louise St Glendale CA 91205 |
| Mailing Address |
116 S Louise St Glendale CA 91205-1025 |
| Practice Telephone | 8185074340 |
| Practice Fax Number | 8185074308 |
| Mailing Telephone | 8185074340 |
| Mailing Fax Number | 8185074308 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A42661 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A426610 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1030 S Glendale Ave, 301, Glendale, CA 912055612 | 8185074340 |
| Street Address |
116 S LOUISE ST |
| City | GLENDALE |
| State | CA |
| Zip Code | 91205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982017760 | Armen Derboghossians, Md Inc | Urology | 116 S Louise St, Glendale, CA 91205-1025 | 2014-06-09 |
| 1558641852 | Armen Derboghossians | Urology | 116 S Louise St, Glendale, CA 91205-1025 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
| 1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
| 1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
| 1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
| 1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
| 1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
| 1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
| 1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
| Find all providers in zip 91205 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| 1811207483 | Shahin Derboghossians Md Inc | Urology | 1030 S Glendale, 301, Glendale, CA 91205 | 2010-10-18 |
| 1285955823 | Kirsten Janna Chimwemwe Janosek-albright | Urology | 17560 N 75th Ave, Suite 440, Glendale, AZ 85308-5983 | 2010-06-17 |
| 1326371717 | Kamal Nagpal | Urology | 6320 W Union Hills Dr Ste 2600b, Glendale, AZ 85308-1379 | 2009-09-16 |
| 1922284579 | Yasmin I Bootwala | Urology | 6525 W Sack Dr Ste 201, Glendale, AZ 85308 | 2008-01-14 |
| 1073609178 | Ignacio Hoelzl Luna | Urology | 426 Eight Street, Suite 300, Glendale, WV 26038 | 2006-10-05 |
| 1538181474 | Ken-ryu Han | Urology | 5750 W Thunderbird Rd Ste B200, Glendale, AZ 85306-4664 | 2006-07-23 |
| 1023045713 | Carlton Francis Valvo | Urology | 1808 Verdugo Blvd Ste 110, Glendale, CA 91208-1450 | 2006-06-27 |
| 1508814138 | Glen-white Urological Medical Group Inc | Urology | 1560 East Chevy Chase Dr, Suite 325, Glendale, CA 91206 | 2006-05-05 |
| 1508427667 | Arizona State Urology LLC | Urology | 6525 W Sack Dr Ste 201, Glendale, AZ 85308-7106 | 2019-06-27 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.