Individual provider Active NPI

Chris K. Sukiassians, O.D.

  • Optometrist
  • Northridge, CA
National Provider Identifier
1326191800
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12246T Issued in CA
Practice address
9027 Tampa Ave
Northridge, CA 91324-3524
Phone
(818) 349-7617
Fax
(818) 349-7616
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12246T CA Primary

Addresses

Primary practice location

9027 Tampa Ave
Northridge, CA 91324-3524

Mailing address

9027 Tampa Ave
Northridge, CA 91324-3524
Phone (818) 349-7617

Other names 1

  • Dr. Karlos Sukiassians Former name

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

LicenseStateTypeSpecialty
12246TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1326191800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9027 TAMPA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243524",
            "telephone_number": "818-349-7617",
            "fax_number": "818-349-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9027 TAMPA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243524",
            "telephone_number": "818-349-7617",
            "fax_number": "818-349-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKIASSIANS",
        "first_name": "CHRIS",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12246T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLOS",
            "last_name": "SUKIASSIANS",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.