Setrak Manouk Missak Azrenkassian

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A193958 Issued in CA

Practice address

215 W Janss Rd
Thousand Oaks, CA 91360-1847

Phone

(805) 497-2727

NPI assigned

Apr 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Hospitalist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Medical PractitionersGroup PAC ID 5698136745, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sazrenkassian1412281@direct.uclahealth.org

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.

• Life Medical Practitioners

  • Hospitalist Physician
  • San Diego, CA
  • NPI 1821799164

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hospital Medicine of California Inc

  • Hospitalist Physician
  • West Hills, CA
  • NPI 1770037236

  Internal Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation
• Los Robles Regional Medical Center

  dba Los Robles Hospital & Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1265010920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 FOOTHILL BLVD APT 218",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401976",
            "telephone_number": "818-439-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W JANSS RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601847",
            "telephone_number": "805-497-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZRENKASSIAN",
        "first_name": "SETRAK MANOUK",
        "middle_name": "MISSAK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A193958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kouros Azar, M.D.
• Mandana Azar, M.D.
• Nicola Faris Azar, M.D.
• Shanee Aziz
• Fraidon Frey Azizi, MD
• Katrina S. Babcock, D.O.
• Bachir Jirari, M.D., Inc., a Medical Corporation
• Diana Bada de Ross, PHARMD
• Gholamreza Badiee, M.D.
• Omar Badillo

• Internal Medicine Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.