Active NPI
Sahag Aram Baghdassarian, M.D.
- Ophthalmology Physician
- Glendale, CA
National Provider Identifier
1598849846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- C40105
- Practice address
- 1310 S Central Ave
Glendale, CA 91204-2506 - Phone
- (818) 548-5858
- Fax
- (818) 500-8355
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | C40105 | CA | Primary |
Addresses
Primary practice location
1310 S Central Ave
Glendale, CA 91204-2506
Mailing address
1310 S Central Ave
Glendale, CA 91204-2506
Phone (818) 548-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C401050 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1598849846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 S CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042506",
"telephone_number": "818-548-5858",
"fax_number": "818-500-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 S CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042506",
"telephone_number": "818-548-5858",
"fax_number": "818-500-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHDASSARIAN",
"first_name": "SAHAG",
"middle_name": "ARAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "C40105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C401050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.