Individual provider Active NPI

Astghik Sahakyan, D.D.S

  • Dentist
  • N Hollywood, CA
National Provider Identifier
1538313259
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57508 Issued in CA
Practice address
6015 Cartwright Ave
N Hollywood, CA 91606-5002
Phone
(818) 390-4319
NPI assigned
Nov 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57508 CA Primary

Addresses

Primary practice location

6015 Cartwright Ave
N Hollywood, CA 91606-5002

Mailing address

6015 Cartwright Ave
North Hollywood, CA 91606-5002
Phone (818) 390-4319

Other identifiers 1

IdentifierTypeStateIssuer
57508MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57508CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1538313259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 CARTWRIGHT AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916065002",
            "telephone_number": "818-390-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 CARTWRIGHT AVE",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916065002",
            "telephone_number": "818-390-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAKYAN",
        "first_name": "ASTGHIK",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57508",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.