Ivet Sarkissian Pekacheki, M.S., R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

931161 Issued in CA

Practice address

1505 Wilson Ter
# 155
Glendale, CA 91206-4071

Phone

(818) 500-4055

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Kidney Disease Consulting Group

  • Clinic/Center
  • Glendale, CA
  • NPI 1447138227
  NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1124117643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ARDMORE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021516",
            "telephone_number": "818-590-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER",
            "address_2": "# 155",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064071",
            "telephone_number": "818-500-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKISSIAN PEKACHEKI",
        "first_name": "IVET",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "931161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "(PIN)",
            "identifier": "NT931161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Sarkisian, LCSW, PSY.D. CANDIDA
• Eden Sarkisian
• Karo Sarkisian
• Maneh Sarkisian, NP-C
• Mary Sarkisian
• Isabella Sarkissian-Ourkhan, M.A.
• Aida Sarkissian
• Babken Sarkissian, DPT, PT
• Christine Sarkissian
• Irina Sarkissian

• Registered Dietitian in Glendale, CA
• Providers in Glendale, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.