Individual provider Active NPI

Jessica Saghian, PA-C

  • Dermatology Physician
  • Agoura Hills, CA
National Provider Identifier
1053122515
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
PA65627 Issued in CA
Practice address
30300 Agoura Rd Ste 200
Agoura Hills, CA 91301-5413
Phone
(818) 706-3744
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X PA65627 CA Primary

Addresses

Primary practice location

30300 Agoura Rd Ste 200
Agoura Hills, CA 91301-5413

Mailing address

16829 Margate St
Encino, CA 91436-1015

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623003280 CA Practitioner - Physician Assistant 2860904166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parham Tabibian MD IncGroup PAC ID 9739284704, 9 clinicians

Practice addresses (Care Compare)

30300 Agoura Rd
Suite 200
Agoura Hills, CA 91301-5413
Phone (818) 706-3744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65627CAMDPharmacist
PA65627CAMDDermatology Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1053122515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16829 MARGATE ST",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30300 AGOURA RD STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015413",
            "telephone_number": "818-706-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGHIAN",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "PA65627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.