Individual provider Active NPI

Patricia Sarkisian, OD

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1386222065
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34781 Issued in CA
Practice address
5818 Santa Monica Blvd
Los Angeles, CA 90038-2002
Phone
(323) 762-2294
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34781 CA Primary

Addresses

Primary practice location

5818 Santa Monica Blvd
Los Angeles, CA 90038-2002

Mailing address

5818 Santa Monica Blvd
Los Angeles, CA 90038-2002
Phone (323) 762-2294

Other practice location 1

355 Central Ave
Fillmore, CA 93015-1920
Phone (805) 524-4926

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717004955 CA Practitioner - Optometry 5991241689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinicas del Camino Real IncGroup PAC ID 3173434396, 99 clinicians

Practice addresses (Care Compare)

2100 Statham Blvd
Oxnard, CA 93033-3901
Phone (805) 330-8680

355 Central Ave
Fillmore, CA 93015-1920
Phone (805) 524-4926

4400 Olds Rd
Oxnard, CA 93033-8061
Phone (805) 986-5551

450 W Clara St
Oxnard, CA 93033-8363
Phone (805) 488-0210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc Current Accepting new patients
Clinicas del Camino Real Inc CurrentSince Aug 1, 2024 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Aug 1, 2024 Accepting new patients
National Vision Inc PastSince Aug 13, 2023 Accepting new patients

Locations

355 Central Ave
Fillmore, CA 93015
Phone (805) 524-4926

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

Interoperability endpoints

  • Direct secure messaging: patricia.sarkisian.p1@direct.clinicas.nextgenshare.com
  • Direct secure messaging: patricia.sarkisian.1@28334.direct.athenahealth.com
  • Direct secure messaging: psarkisian802664@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1386222065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900382002",
            "telephone_number": "323-762-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900382002",
            "telephone_number": "323-762-2294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Fillmore",
            "state": "CA",
            "postal_code": "930151920",
            "country_code": "US",
            "telephone_number": "805-524-4926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARKISIAN",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.