Individual provider Active NPI

Youri Saakian

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1629093463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42413 Issued in CA
Practice address
1150 N Pacific Ave
Glendale, CA 91202-2359
Phone
(818) 240-0138
Fax
(818) 240-0552
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42413 CA Primary

Addresses

Primary practice location

1150 N Pacific Ave
Glendale, CA 91202-2359

Mailing address

1150 N Pacific Ave
Glendale, CA 91202-2359
Phone (818) 240-0138

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
I20171222000430 CA Practitioner - DentistPractitioner - Oral Surgery 8820356785 Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Oral Surgery
Education
Foreign Dental Schools, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 N Pacific Ave
Glendale, CA 91202-2359
Phone (818) 240-0138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Y.Saakian Dental Corporation General Practice Current Accepting new patients
Natalya Shagramanova D.D.S. Inc. General Practice Past Accepting new patients

Locations

1150 N Pacific Ave
Glendale, CA 91202
Phone (818) 240-0138

Organizations & group practices 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629093463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022359",
            "telephone_number": "818-240-0138",
            "fax_number": "818-240-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022359",
            "telephone_number": "818-240-0138",
            "fax_number": "818-240-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAKIAN",
        "first_name": "YOURI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.