Provider Demographics
NPI:1407892391
Name:NACHAT, ARIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIAN
Middle Name:
Last Name:NACHAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-2739
Mailing Address - Country:US
Mailing Address - Phone:562-434-1464
Mailing Address - Fax:
Practice Address - Street 1:301 E 13TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-6211
Practice Address - Country:US
Practice Address - Phone:209-385-7111
Practice Address - Fax:209-385-7066
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD182673207P00000X
CAA89991207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A899910Medicaid
CA00A899910Medicaid
CAI28181Medicare UPIN