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SHANT DERAVANESIAN
NPI 1538569041
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since September 03, 2014
470 E 3RD ST STE C, LOS ANGELES, CA 90013(213) 620-5712(213) 621-4155 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shant Deravanesian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANT DERAVANESIAN (NPI 1538569041) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1538569041
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHANT DERAVANESIAN
Location Address470 E 3RD ST STE CLos Angeles, CA 90013-1630
Mailing Address470 E 3rd St Ste CLos Angeles, CA 90013-1630 · (213) 620-5712 · Fax (213) 621-4155
Phone(213) 620-5712
Fax(213) 621-4155
Sole ProprietorNo
Enumeration DateSeptember 3, 2014
✔ NPI 1538569041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
470 E 3RD ST STE C, Los Angeles, CA 90013
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSANA ESPARZA THORNTON
Case Manager/Care Coordinator
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
MARIANA RUIZ
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
SELINA PRINCE
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
ILSE HERNANDEZ
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
BRIANNA TAQIKANU
Licensed Vocational Nurse
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
CESAR ALBERTO VARGAS
Rehabilitation Practitioner
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
STEPHANIE VARGAS
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
GLADIS MARGARITA ROMERO
Social Worker (Clinical)
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shant Deravanesian's NPI number?

The NPI number for Shant Deravanesian is 1538569041. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Where is Shant Deravanesian located?

Shant Deravanesian practices at 470 E 3rd St Ste C, Los Angeles, CA 90013. The listed phone number is (213) 620-5712.

What is Shant Deravanesian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shant Deravanesian was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.