Active NPI
Sarkis B Baghdasarian, M.D.
- Cardiovascular Disease Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A100791
- Practice address
- 2210 E Illinois Ave
Suite 508
Fresno, CA 93701-2125 - Phone
- (559) 320-0545
- Fax
- (559) 320-0550
- NPI assigned
- Mar 8, 2007
- Last updated
- Nov 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A100791 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | A100791 | CA | Primary |
| Nuclear Cardiology Physician | 207UN0901X | A100791 | CA |
Addresses
Primary practice location
2210 E Illinois Ave
Suite 508
Fresno, CA 93701-2125
Mailing address
4910 E Clinton Way
Suite 101
Fresno, CA 93727-1560
Phone (559) 443-2682
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
13652 Cantara St
Panorama City, CA 91402-5423
Phone (818) 375-2000
26877 Tourney Rd
Santa Clarita, CA 91355-1846
Phone (888) 778-5000
615 W Ave L
Lancaster, CA 93534-7211
Phone (661) 729-7100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100791 | CA | MD | Marriage & Family Therapist |
| A100791 | CA | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Herndon Healthcare, Inc. | Past | Accepting new patients | |
| University Faculty Associates, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
1800 Harrison St
Fl 7
Oakland, CA 94612
13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1710151881
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1700518438
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1932475589
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Bakersfield, CA
- NPI 1861424376
-
- Health Maintenance Organization
- Lancaster, CA
- NPI 1982863783
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1073911137
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaiser Foundation Hospital Panorama City
- General Acute Care Hospital
- Panorama City, CA
- NPI 1376698043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1265563241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 E CLINTON WAY",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271560",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 E ILLINOIS AVE",
"address_2": "SUITE 508",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012125",
"telephone_number": "559-320-0545",
"fax_number": "559-320-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHDASARIAN",
"first_name": "SARKIS",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A100791",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A100791",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "CA",
"license": "A100791",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "13652 Cantara St",
"city": "Panorama City",
"state": "CA",
"country_code": "US",
"postal_code": "914025423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.