Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shant Tomassian, MD

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1215594692

Shant Tomassian, MD is a Family Practice in Glendora, California. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

415 W Route 66 Ste 201
Glendora, CA 91740-4335
Phone: (626) 963-0900
Fax: (626) 963-9663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A179858 (CA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence PTL1731 (CA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence A179858 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215594692
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address1115 S Sunset Ave, West Covina, CA 91790-3940

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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