Individual provider Active NPI

Gayane Saakyan, MD

  • Family Medicine Physician
  • Jackson, CA
National Provider Identifier
1023719945
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A203992 Issued in CA
Practice address
815 Court St Ste 7
Jackson, CA 95642-2154
Phone
(209) 223-2034
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A203992 CA Primary

Addresses

Primary practice location

815 Court St Ste 7
Jackson, CA 95642-2154

Mailing address

1201 Alhambra Blvd Ste 300
Sacramento, CA 95816-5241

Other practice location 1

1201 Alhambra Blvd Ste 300
Sacramento, CA 95816-5241
Phone (916) 731-7866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319003406 CA Order and Referring Only - Family PracticePractitioner - Family Practice 0840712865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A203992CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: gsaakyan686733@hisp.ehr.sutterhealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1023719945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ALHAMBRA BLVD STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COURT ST STE 7",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422154",
            "telephone_number": "209-223-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Alhambra Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165241",
            "country_code": "US",
            "telephone_number": "916-731-7866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAAKYAN",
        "first_name": "GAYANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A203992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, CA

Sources for this page

Verify at the official NPI Registry.