Individual provider Active NPI

Vahe Mike Sarkisian, CPED

  • Specialist
  • Lantana, FL
National Provider Identifier
1194993170
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PED 150 Issued in FL
Practice address
6593 Westview Dr
Lantana, FL 33462-3951
Phone
(718) 551-6101
NPI assigned
Feb 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PED 150 FL Primary

Addresses

Primary practice location

6593 Westview Dr
Lantana, FL 33462-3951

Mailing address

6593 Westview Dr
Lantana, FL 33462-3951
Phone (718) 551-6101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PED 150FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1194993170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6593 WESTVIEW DR",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334623951",
            "telephone_number": "718-551-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6593 WESTVIEW DR",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334623951",
            "telephone_number": "718-551-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKISIAN",
        "first_name": "VAHE",
        "middle_name": "MIKE",
        "credential": "CPED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PED 150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.