Individual provider Active NPI

Wayne Sarkis Dodakian, D.O.

  • Hospitalist Physician
  • Chino, CA
National Provider Identifier
1124281761
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
20A12340 Issued in CA
Practice address
5451 Walnut Ave
Chino, CA 91710-2609
Phone
(909) 464-8880
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20A12340 CA Primary

Addresses

Primary practice location

5451 Walnut Ave
Chino, CA 91710-2609

Mailing address

16572 Wanderer LN
Huntington Beach, CA 92649-2144
Phone (626) 807-8227

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130619000552 CA Practitioner - Family Practice 0244479442 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13222 Bloomfield Ave
Norwalk, CA 90650-3249
Phone (562) 863-4763

Hospital & facility affiliations

  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
12340CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centinela Freeman Emergency Medical Associates, Inc. CurrentSince Jan 1, 2015 Accepting new patients
California Hospitalists Emergency Physicians Medical Group Inc Hospitalist CurrentSince Aug 1, 2023 Accepting new patients
Providence Facey Medical Foundation Current Accepting new patients
Providence Facey Medical Foundation CurrentSince Mar 1, 2022 Accepting new patients
Pacific Coast Emergency Medical Associates, Inc CurrentSince Aug 1, 2014 Accepting new patients
Providence Facey Medical Foundation CurrentSince Mar 1, 2022 Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations (25 of 35)

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
#4
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

7211 Warner Ave
Huntington Beach, CA 92647
Phone (714) 462-4553

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

4143 Campus Dr
Ste C200
Irvine, CA 92612
Phone (949) 471-0002

475 Foothill Blvd
La Canada, CA 91011
Phone (818) 528-6377

5101 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 800-3883

2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911

4121 Santa Monica Blvd
Ste 106
Los Angeles, CA 90029
Phone (213) 335-7355

File 50670
Los Angeles, CA 90074

8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020

2090 Westwood Blvd
Los Angeles, CA 90025
Phone (213) 813-4070

8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540

4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024

13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729

659 Town Center Dr
Ste 2310
Oxnard, CA 93036
Phone (805) 892-7130

3160 E Del Mar Blvd
Ste 110
Pasadena, CA 91107
Phone (626) 270-2400

6020 Seabluff Dr
Ste 1
Playa Vista, CA 90094
Phone (310) 862-0400

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

725 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (424) 296-3100

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1124281761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16572 WANDERER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492144",
            "telephone_number": "626-807-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102609",
            "telephone_number": "909-464-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODAKIAN",
        "first_name": "WAYNE",
        "middle_name": "SARKIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A12340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.