Lazik Der Sarkissian, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A041167 Issued in CA

Practice address

540 N Central Ave
205
Glendale, CA 91203-1916

Phone

(818) 243-9463

Fax

(818) 243-5416

NPI assigned

Jul 27, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Usc Verdugo Hills Hospital, LLC

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1265875207
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205850641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N CENTRAL AVE",
            "address_2": "205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031916",
            "telephone_number": "818-243-9463",
            "fax_number": "818-243-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N CENTRAL AVE",
            "address_2": "205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031916",
            "telephone_number": "818-243-9463",
            "fax_number": "818-243-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DER SARKISSIAN",
        "first_name": "LAZIK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A041167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A411672",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen J Dennis-Zarate, M.D.
• Dental Care Studios,Dental Office of Jacklyn Azarian DDS
• Deo Home Health Inc
• Nersis Der Artinian, RPH
• Mary-Jeanne Der Avedissian, M.S., R.D.
• Loretta Deranja
• Harry Deravedissian, D.C.
• Krikor Derbabian, D.D.S.
• Piyola Derbarseghian
• Armen Derboghossians, M.D

• Pain Medicine (Anesthesiology) Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.