Active NPI
Ayoosh Kakkar, MD
- Psychiatry Physician
- El Segundo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A170029
- Practice address
- 390 N Pacific Coast Hwy Ste 2060
El Segundo, CA 90245-4401 - Phone
- (855) 501-1004
- NPI assigned
- Jun 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A170029 | CA | Primary |
| Psychiatry Physician | 2084P0800X | 009629 | GA |
Addresses
Primary practice location
390 N Pacific Coast Hwy Ste 2060
El Segundo, CA 90245-4401
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Other practice location 1
1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-7005
Other practice location 2
801 Seneca St
Ventura, CA 93001-1411
Phone (805) 653-6434
Other names 1
- Dr. Ayoosh Kakkar
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220621001647 | CA | Practitioner - Psychiatry | 9739453838 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mark David Levine MD Professional CorporationComprehensive Psychiatric Solutions, PC
Practice addresses (Care Compare)
390 N Pacific Coast Hwy
Suite 2060
El Segundo, CA 90245-4401
Phone (855) 501-1004
801 Seneca St
Ventura, CA 93001-1411
Phone (805) 653-6434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009629 | GA | MD | Periodontist |
| A170029 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine, MD Burlingame PC | Psychiatry | Current | Accepting new patients |
| County of Ventura | Current | Accepting new patients | |
| Mark David Levine M.D. Professional Corporation | Psychiatry | Current | Accepting new patients |
| County of Ventura | Current | Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| Comprehensive Psychiatric Solutions, P.C. | Psychiatry | Current | Accepting new patients |
Locations
390 N Pacific Coast Hwy
Ste 2060
El Segundo, CA 90245
4553 Glencoe Ave
Ste 315
Marina del Rey, CA 90292
1400 Expo Pkwy
Sacramento, CA 95815
Phone (661) 398-1800
3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898
1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031
800 S Victoria Ave
#L4640
Ventura, CA 93009
300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000
801 Seneca St
Ventura, CA 93001
Phone (805) 504-6814
1450 W Long Lake Rd
Ste 340
Troy, MI 48098
Phone (248) 839-5381
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8cf1bb66-7b18-4eaa-b641-538f19feb923/
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1740758754
CA, Psychiatry
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1154697944
CA, Psychiatry
-
- Community/Behavioral Health Agency
- Oxnard, CA
- NPI 1003509852
-
- Community/Behavioral Health Agency
- Simi Valley, CA
- NPI 1609098243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1669992137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 N PACIFIC COAST HWY STE 2060",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454401",
"telephone_number": "855-501-1004"
}
],
"practiceLocations": [
{
"address_1": "1120 15th St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120004",
"country_code": "US",
"telephone_number": "706-721-7005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Seneca St",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930011411",
"country_code": "US",
"telephone_number": "805-653-6434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAKKAR",
"first_name": "AYOOSH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-26",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A170029",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "009629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AYOOSH",
"last_name": "KAKKAR",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.