Organization Active NPI

Sayana Medical Spa & Wellness Center Inc

  • Primary Care Clinic/Center
  • Studio City, CA
National Provider Identifier
1447690524
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A2868 Issued in CA
Legal business name
SAYANA MEDICAL SPA & WELLNESS CENTER INC
Practice address
11724 Ventura Blvd Ste a
Studio City, CA 91604-2621
Phone
(818) 331-4386
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Authorized official

Name
Dr. Shilpa Sayana, M.DNPI 1295857647
Title
Medical Director
Phone
(310) 903-7599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A2868 CA Primary

Addresses

Primary practice location

11724 Ventura Blvd Ste a
Studio City, CA 91604-2621

Mailing address

11724 Ventura Blvd Ste a
Studio City, CA 91604-2621
Phone (818) 331-4386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140310000290 CA Part B Supplier - Clinic/Group Practice 6507096773 Receives reassigned benefits from 2 practitioners
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

14006 Riverside Dr
Ste 18
Sherman Oaks, CA 91423
Phone (310) 903-7599

11724 Ventura Blvd
Ste A
Studio City, CA 91604
Phone (818) 331-4386

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1447690524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11724 VENTURA BLVD STE A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042621",
            "telephone_number": "818-331-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11724 VENTURA BLVD STE A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042621",
            "telephone_number": "818-331-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYANA MEDICAL SPA & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "SAYANA",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-903-7599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A2868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.