Organization Active NPI

Harry a. Khasigian a Medical Corporation

  • Specialist
  • Sacramento, CA
National Provider Identifier
1184063604
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G297720 Issued in CA
Legal business name
HARRY A. KHASIGIAN A MEDICAL CORPORATION
Practice address
7551 Timberlake Way
Suite 200
Sacramento, CA 95823-5420
Phone
(916) 525-0620
Fax
(916) 525-0639
NPI assigned
Jun 18, 2013
Last updated
Jul 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Ms. Sheryl M Ochoa
Title
Contract/Coding Specialist
Phone
(916) 525-0620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G297720 CA Primary

Addresses

Primary practice location

7551 Timberlake Way
Suite 200
Sacramento, CA 95823-5420

Mailing address

7551 Timberlake Way
Suite 200
Sacramento, CA 95823-5420
Phone (916) 525-0620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130625000255 CA Part B Supplier - Clinic/Group Practice 7719126630 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

7551 Timberlake Way
Ste 200
Sacramento, CA 95823
Phone (916) 525-0620

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": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1184063604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 TIMBERLAKE WAY",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235420",
            "telephone_number": "916-525-0620",
            "fax_number": "916-525-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 TIMBERLAKE WAY",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235420",
            "telephone_number": "916-525-0620",
            "fax_number": "916-525-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY A. KHASIGIAN A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTRACT/CODING SPECIALIST",
        "authorized_official_telephone_number": "916-525-0620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G297720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.