Individual provider Active NPI

Talin Khachatoor Sarkissian, OD

  • Optometrist
  • Pasadena, CA
National Provider Identifier
1497391932
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34543 Issued in CA
Practice address
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747
Phone
(626) 793-4168
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 34543 CA Primary

Addresses

Primary practice location

2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

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
I20200820003258 CA Practitioner - Optometry 2961828934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians
California Eye Specialists Medical Group IncGroup PAC ID 6800793381, 26 clinicians

Practice addresses (Care Compare)

2619 E Colorado Blvd
Suite 150
Pasadena, CA 91107-3747
Phone (626) 793-4168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Eye Specialists Medical Group, Inc CurrentSince Aug 1, 2020 Accepting new patients
Azul Vision Inc. Optometrist CurrentSince Jun 12, 2024 Accepting new patients
Eyecare Specialists Medical Group, Inc Optometrist Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

1025 N Brand Blvd
Ste 200
Glendale, CA 91202
Phone (818) 230-2140

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

18250 Roscoe Blvd
Ste 120
Northridge, CA 91325
Phone (818) 583-9924

2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100

207 S Santa Anita St
Ste 310
San Gabriel, CA 91776
Phone (626) 200-1277

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

18370 Burbank Blvd
Ste 207
Tarzana, CA 91356
Phone (818) 634-3330

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: talin.khachatoorsarkissian.p1@direct.atlantiseyecare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1497391932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 E COLORADO BLVD STE 150",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073747",
            "telephone_number": "626-793-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHATOOR SARKISSIAN",
        "first_name": "TALIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.