NPIMap

Individual provider Active NPI

Sevag Balikian, M.D.

  • Nephrology Physician
  • Pasadena, CA
National Provider Identifier
1346485315
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A105269 Issued in CA
Practice address
960 E Green St Ste 107
Pasadena, CA 91106-2401
Phone
(626) 352-0010
Fax
(626) 228-3520
NPI assigned
Dec 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A105269 CA Primary

Addresses

Primary practice location

960 E Green St Ste 107
Pasadena, CA 91106-2401

Mailing address

960 E Green St Ste 107
Pasadena, CA 91106-2401
Phone (626) 352-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208001169 CA Practitioner - NephrologyPractitioner - Internal Medicine 9032306659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sevag Balikian, M.D., a Professional CorporationGroup PAC ID 1456504141, 2 clinicians

Practice addresses (Care Compare)

960 E Green St
Pasadena, CA 91106-2401
Phone (626) 352-0010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A105269CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Hospitalist Medical Group, Inc. Single Specialty CurrentSince Jul 22, 2013 Accepting new patients
Sevag Balikian, M.D., a Professional Corporation Single Specialty CurrentSince Dec 10, 2012 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

800 S Central Ave
Ste 307
Glendale, CA 91204
Phone (818) 396-0917

301 S Fair Oaks Ave
Ste 208
Pasadena, CA 91105
Phone (626) 431-2654

301 S Fair Oaks Ave
Ste 405
Pasadena, CA 91105
Phone (626) 440-7325

960 E Green St
Ste 107
Pasadena, CA 91106
Phone (626) 352-0010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1346485315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-352-0010",
            "fax_number": "626-228-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-352-0010",
            "fax_number": "626-228-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALIKIAN",
        "first_name": "SEVAG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A105269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.