IRADJ H NAZARIAN MD NPI 1083753321

NPI Information

  • NPI: 1083753321
  • Provider Name: IRADJ H NAZARIAN, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0700622
  • Address: 7136 PACIFIC BLVD
    STE 225
    HUNTINGTON PARK, CA
    ZIP 90255
  • Phone: (323) 588-5467

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NPI Details

Iradj H Nazarian, MD is a general practice in Huntington Park, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Iradj H Nazarian, MD NPI is 1083753321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7136 PACIFIC BLVD
STE 225
HUNTINGTON PARK, CA
ZIP 90255-783
Phone: (323) 588-5467

The NPI 1083753321 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0700622 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 3/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeA43573CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105D0700622OTHERCALIFORNIACLIA #
2A85888MEDICARE UPINCALIFORNIA
300A435731MEDICAIDCALIFORNIA
4A43573AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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