Individual provider Active NPI

Ayoosh Kakkar, MD

  • Psychiatry Physician
  • El Segundo, CA
National Provider Identifier
1669992137
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A170029 Issued in CA
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

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CorporationGroup PAC ID 0143478305, 165 clinicians
Comprehensive Psychiatric Solutions, PCGroup PAC ID 0042629701, 6 clinicians

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

LicenseStateTypeSpecialty
009629GAMDPeriodontist
A170029CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine, MD Burlingame PC Psychiatry CurrentSince Jun 9, 2022 Accepting new patients
County of Ventura CurrentSince Jul 1, 2025 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatry CurrentSince Jun 9, 2022 Accepting new patients
County of Ventura CurrentSince Jul 1, 2025 Accepting new patients
County of Ventura Current Accepting new patients
Comprehensive Psychiatric Solutions, P.C. Psychiatry CurrentSince Jul 1, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.