Sevag Melkonian

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110158 Issued in CA

Practice address

5106 Hollywood Blvd Ste 200
Los Angeles, CA 90027-6135

Phone

(323) 667-9127

Fax

(323) 664-8320

NPI assigned

Jun 25, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lilit Bagdasarian DDS a Profetional Corporation

  • Public Health Dentistry
  • Los Angeles, CA
  • NPI 1780578799
  NPD
• Lilit Baghdasarian DDS a Profesional Corporation

  • Dentist
  • Los Angeles, CA
  • NPI 1205108479
  NPD (past)

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1689418402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7924 HAZELTINE AVE",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025202",
            "telephone_number": "818-646-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 HOLLYWOOD BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276135",
            "telephone_number": "323-667-9127",
            "fax_number": "323-664-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELKONIAN",
        "first_name": "SEVAG",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Julian, PHD Psychological Corporation
• Melissa Susman
• Saba Tekle Melketsadik, CNM
• Areen Melkonian
• Garine Melkonian
• Ilona Melkonyan, HAD
• Milena Melkonyan, LCSW
• Aaron Ryan Mella
• Dana Meller
• Daniel Meller

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.