Individual provider Active NPI

Lilit Baldjyan Sarkissian, CNM

  • Advanced Practice Midwife
  • Granada Hills, CA
National Provider Identifier
1093375016
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236040 Issued in CA
Practice address
17007 Lisette St
Granada Hills, CA 91344-1435
Phone
(818) 915-0982
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 236040 CA
Advanced Practice Midwife 367A00000X 236040 CA Primary

Addresses

Primary practice location

17007 Lisette St
Granada Hills, CA 91344-1435

Mailing address

17007 Lisette St
Granada Hills, CA 91344-1435
Phone (818) 915-0982

Other names 1

  • Lilit Baldjyan Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705001337 CA Practitioner - Certified Nurse Midwife (CNM) 9032653712 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of California Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jun 2, 2025 Accepting new patients
Martin Luther King Jr Community Medical Foundation Midwife CurrentSince Jun 2, 2025 Accepting new patients
Los Angeles Midwives Advanced Practice Midwife Current Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

Organizations & group practices 5

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1093375016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17007 LISETTE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441435",
            "telephone_number": "818-915-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17007 LISETTE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441435",
            "telephone_number": "818-915-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKISSIAN",
        "first_name": "LILIT",
        "middle_name": "BALDJYAN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "236040",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIT",
            "last_name": "BALDJYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.