Saint Victoria Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SAINT VICTORIA HOME CARE

Practice address

133 N Altadena Dr Ste 304
Pasadena, CA 91107-7339

Phone

(626) 550-0654

NPI assigned

Jun 7, 2021

Organization subpart

No

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

Authorized official

Name

Allen Andre Sarkisyan

Title

Ceo

Phone

(626) 550-0654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255908364. Details of each certification follow.

• CCN 757646 Home health agency · Active · Details

Home health agency certification: CCN 757646

Legal name

SAINT VICTORIA HOME CARE

Doing business as

SAINT VICTORIA HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 9, 2023

Last certification

Aug 9, 2023

Organization structure

CorporationProprietary

Enrollment address

6350 Laurel Canyon Blvd
Ste 202
North Hollywood, CA 91606-3200

Listed as

Saint Victoria Home Health CareCCN 757646 · All quality measures

Overall star rating

2 of 5

Ownership

-

Certified

Aug 9, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 4

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.

• Vishal Govil, D.O.

  • Family Medicine Physician
  • Chino, CA
  • NPI 1851751853
  NPD (past)
• Helen Le, FNP-C

  • Family Nurse Practitioner
  • Corona, CA
  • NPI 1700644200
  NPD (past)
• Maria Jose Ordenana, RN FNP

  • Family Nurse Practitioner
  • Orange, CA
  • NPI 1063157352
  NPD (past)
• Mariam Sahakyan, FNP

  • Family Medicine Physician
  • Reseda, CA
  • NPI 1609688696
  NPD (past)

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nagwa L Azer, MD

  • Family Medicine Physician
  • La Puente, CA
  • NPI 1891864070

  Home health agency

  Care Compare affiliation
• Vishal Govil, D.O.

  • Family Medicine Physician
  • Chino, CA
  • NPI 1851751853

  Home health agency

  Care Compare affiliation
• Ahmad Kabakibi, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1043390206

  Home health agency

  Care Compare affiliation
• Abdul Rab Khan, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1063400380

  Home health agency

  Care Compare affiliation
• Lisa Ma, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1639125487

  Home health agency

  Care Compare affiliation
• Brian Magovern, MD

  • Orthopaedic Surgery Physician
  • Torrance, CA
  • NPI 1386687606

  Home health agency

  Care Compare affiliation
• Kenneth Baldemor Reyes, FNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1083907547

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1255908364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR STE 304",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR STE 304",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077339",
            "telephone_number": "626-550-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VICTORIA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "SARKISYAN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-550-0654"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basant Said
• Taher Mir Saifullah, M.D.
• Emil Saify, M.D.
• Marie M Saint Louis, DPM
• Saint Olivia Hospice Care Inc
• Kevin Sairafian, MD
• Kenji Sakai, D.D.S.
• Shari Malia Sakamoto
• Candice Sakellariou
• Zena Saklawi, DDS

• Home Health Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.