Organization Active NPI

Sunrise Med Clinic Inc

  • Family Medicine Physician
  • Sun Valley, CA
National Provider Identifier
1053140293
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNRISE MED CLINIC INC
Practice address
8133 San Fernando Rd Ste B1
Sun Valley, CA 91352-4065
Phone
(818) 208-1077
Fax
(818) 279-0816
NPI assigned
Jul 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Mr. Narek Hakobyan
Title
Ceo
Phone
(818) 484-0458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8133 San Fernando Rd Ste B1
Sun Valley, CA 91352-4065

Mailing address

8133 San Fernando Rd Ste B1
Sun Valley, CA 91352-4065
Phone (818) 208-1077

Other identifiers 1

IdentifierTypeStateIssuer
A147448OtherCAMEDICAL BOARD OF CALIFORNIA

National Provider Directory

National Provider Directory

Locations

8133 San Fernando Rd
Ste B1
Sun Valley, CA 91352
Phone (818) 208-1077

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1053140293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 SAN FERNANDO RD STE B1",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524065",
            "telephone_number": "818-208-1077",
            "fax_number": "818-279-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 SAN FERNANDO RD STE B1",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524065",
            "telephone_number": "818-208-1077",
            "fax_number": "818-279-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MED CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "NAREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-484-0458",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A147448",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.