Provider Demographics
NPI:1851090948
Name:TCHAPARIAN, SHAGHIG (PA-C)
Entity Type:Individual
Prefix:
First Name:SHAGHIG
Middle Name:
Last Name:TCHAPARIAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1567 CORDILLERAS RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-3207
Mailing Address - Country:US
Mailing Address - Phone:650-288-8374
Mailing Address - Fax:
Practice Address - Street 1:14830 LOS GATOS BLVD STE 300
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2053
Practice Address - Country:US
Practice Address - Phone:408-358-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA62405363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant