Active NPI
Lalagin Sarkissian, R.D.
- Registered Dietitian
- Glendale, CA
National Provider Identifier
1295104206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86017373
- Practice address
- 1101 N Pacific Ave Ste 102
Glendale, CA 91202-4311 - Phone
- (818) 244-9929
- NPI assigned
- Sep 20, 2015
- Last updated
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 86017373 | CA | Primary |
Addresses
Primary practice location
1101 N Pacific Ave Ste 102
Glendale, CA 91202-4311
Mailing address
1101 N Pacific Ave Ste 102
Glendale, CA 91202-4311
Phone (818) 244-9929
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86017373 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1295104206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N PACIFIC AVE STE 102",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912024311",
"telephone_number": "818-244-9929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N PACIFIC AVE STE 102",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912024311",
"telephone_number": "818-244-9929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARKISSIAN",
"first_name": "LALAGIN",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-20",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86017373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.