Organization Active NPI

Sourpik Avakian M D a Professional Medical Corporation

  • Family Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1093937435
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOURPIK AVAKIAN M D A PROFESSIONAL MEDICAL CORPORATION
Practice address
462 N Linden Dr Ste 245
Beverly Hills, CA 90212-2203
Phone
(310) 271-6330
Fax
(310) 271-6332
NPI assigned
May 3, 2007
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Sourpik AvakianNPI 1699863555
Title
Owner
Phone
(310) 271-6330

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

462 N Linden Dr Ste 245
Beverly Hills, CA 90212-2203

Mailing address

462 N Linden Dr Ste 245
Beverly Hills, CA 90212-2203
Phone (310) 271-6330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070913000763 CA Part B Supplier - Clinic/Group Practice 5698869279 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

9735 Wilshire Blvd
Ste 441
Beverly Hills, CA 90212
Phone (310) 271-6330

Practitioners & 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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1093937435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 N LINDEN DR STE 245",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122203",
            "telephone_number": "310-271-6330",
            "fax_number": "310-271-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 N LINDEN DR STE 245",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122203",
            "telephone_number": "310-271-6330",
            "fax_number": "310-271-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURPIK AVAKIAN M D A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN",
        "authorized_official_first_name": "SOURPIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-271-6330"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.

Verify at the official NPI Registry.