Individual provider Active NPI

Arlene Alikian, M.D.

  • Pediatrics Physician
  • Thousand Oaks, CA
National Provider Identifier
1144377441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A71828 Issued in CA
Practice address
2125 E Thousand Oaks Blvd
Suite B-2
Thousand Oaks, CA 91362-2942
Phone
(805) 374-7874
Fax
(805) 374-7876
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A71828 CA Primary

Addresses

Primary practice location

2125 E Thousand Oaks Blvd
Suite B-2
Thousand Oaks, CA 91362-2942

Mailing address

2125 E Thousand Oaks Blvd
Suite B-2
Thousand Oaks, CA 91362-2942
Phone (805) 374-7874

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
I20200824001664 CA Practitioner - Pediatric Medicine 1658798533 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71828CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Aug 10, 2020 Accepting new patients
Northeast Valley Health Corporation CurrentSince Aug 10, 2020 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
After Hours Pediatrics, Inc. Past Accepting new patients

Locations

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: arlene.alikian.1@29189.direct.athenahealth.com

Organizations & group practices 4

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144377441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 E THOUSAND OAKS BLVD",
            "address_2": "SUITE B-2",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622942",
            "telephone_number": "805-374-7874",
            "fax_number": "805-374-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E THOUSAND OAKS BLVD",
            "address_2": "SUITE B-2",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622942",
            "telephone_number": "805-374-7874",
            "fax_number": "805-374-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIKIAN",
        "first_name": "ARLENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A71828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.