Active NPI
Sarkis a Kaakijian M D Inc
- Internal Medicine Physician
- Glendale, CA
National Provider Identifier
1073758645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SARKIS A KAAKIJIAN M D INC
- Practice address
- 1500 S Central Ave
Suite 318
Glendale, CA 91204-2530 - Phone
- (818) 548-5437
- Fax
- (818) 548-5445
- NPI assigned
- Dec 10, 2008
- Last updated
- Jan 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarkis A Kaakijian, MD
- Title
- Presidant
- Phone
- (818) 548-5437
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Pediatrics Physician | 208000000X | NU |
Addresses
Primary practice location
1500 S Central Ave
Suite 318
Glendale, CA 91204-2530
Mailing address
1500 S Central Ave
Suite 318
Glendale, CA 91204-2530
Phone (818) 548-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231286400000",
"number": "1073758645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S CENTRAL AVE",
"address_2": "SUITE 318",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042530",
"telephone_number": "818-548-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S CENTRAL AVE",
"address_2": "SUITE 318",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042530",
"telephone_number": "818-548-5437",
"fax_number": "818-548-5445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARKIS A KAAKIJIAN M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-10",
"last_updated": "2009-01-07",
"status": "A",
"authorized_official_last_name": "KAAKIJIAN",
"authorized_official_first_name": "SARKIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDANT",
"authorized_official_telephone_number": "818-548-5437",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.