Individual provider Active NPI

Natalie Mariam Sarukhanian

  • Optometrist
  • Beverly Hills, CA
National Provider Identifier
1760061345
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34895 Issued in CA
Practice address
450 N Roxbury Dr FL 3
Beverly Hills, CA 90210-4238
Phone
(310) 651-2337
Fax
(310) 453-2519
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 34895 CA
Optometrist 152W00000X 34895 CA Primary

Addresses

Primary practice location

450 N Roxbury Dr FL 3
Beverly Hills, CA 90210-4238

Mailing address

328 Milford St Apt 2
Glendale, CA 91203-2031
Phone (818) 726-7141

Other practice location 1

2222 Santa Monica Blvd Ste 107
Santa Monica, CA 90404-2305
Phone (310) 382-5050

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
I20221229002681 CA Practitioner - OptometryPractitioner - Ophthalmology 2466822895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Ophthalmology
Education
Southern California College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kerry K Assil MD IncGroup PAC ID 3476467549, 9 clinicians

Practice addresses (Care Compare)

450 N Roxbury Dr
FL 3
Beverly Hills, CA 90210-4238
Phone (310) 651-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34895CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kerry K. Assil, M.D., Inc. Ophthalmology Past Accepting new patients

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1760061345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 MILFORD ST APT 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032031",
            "telephone_number": "818-726-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR FL 3",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104238",
            "telephone_number": "310-651-2337",
            "fax_number": "310-453-2519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Santa Monica Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042305",
            "country_code": "US",
            "telephone_number": "310-382-5050",
            "fax_number": "310-453-2519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARUKHANIAN",
        "first_name": "NATALIE",
        "middle_name": "MARIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "34895",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.