Tatyana Sarkisova MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TATYANA SARKISOVA MD, INC

Practice address

3655 Lomita Blvd Ste 108
Torrance, CA 90505-1902

Phone

(415) 680-4544

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Tatyana Sarkisova, MDNPI 1902817182

Title

President

Phone

(415) 680-4544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tatyana S Sarkisova, MD

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1902817182
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1427604404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ESPLANADE APT 104",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775037",
            "telephone_number": "415-680-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 108",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051902",
            "telephone_number": "415-680-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATYANA SARKISOVA MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "SARKISOVA",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-680-4544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen P Tassone, D.D.S.
• Jasmine Tatah
• Karen Elizabeth Tate, MD
• Tatiana Voci, MD, Inc.
• Sachiko Tatsuno, LAC
• Elway Tautua
• Marjan Tavakolian, P.T.
• Lara Tavakolizadeh
• Fardis Tavangary, DO
• Michelle Tawa

• Family Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.