Sekilar Rudra Sabaratnam, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A29353 Issued in CA

Practice address

17709 Chatsworth St
Granada Hills, CA 91344-5604

Phone

(818) 363-3121

Fax

(818) 366-1728

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518024405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17709 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445604",
            "telephone_number": "818-363-3121",
            "fax_number": "818-366-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17709 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445604",
            "telephone_number": "818-363-3121",
            "fax_number": "818-366-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABARATNAM",
        "first_name": "SEKILAR",
        "middle_name": "RUDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A29353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0007030",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "WG28871C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ralph Murray Rudley, O.D.
• Susan Lagoria Ruehl, LCSW
• Lucy Rugvana
• RVR Corporation (Reesejoy Care Home II)
• Christine Khabbaz Saade, DMD
• Jinky Encarnacion Sacaguing, DDS
• Safe Hands Home Care, Inc.
• Safe Med Tranz Inc.
• Safe Space Family Therapy Inc
• Sahawneh Dental Corporation (Bright Now Dental - Granada Hills)

• Family Medicine Physician in Granada Hills, CA
• Providers in Granada Hills, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.