Fardin Hakakian, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3947 Issued in CA

Practice address

19228 Ventura Blvd Ste a
Tarzana, CA 91356-3101

Phone

(818) 578-5125

Fax

(818) 578-6039

NPI assigned

Jul 15, 2006

Reactivated

Oct 14, 2020

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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Fardin Hakakian DPM Inc

  • Podiatric Clinic/Center
  • Tarzana, CA
  • NPI 1114495744
  Medicare reassignment NPD
• Brand Tarzana Surgical Institute Inc

  • Ambulatory Surgical Clinic/Center
  • Tarzana, CA
  • NPI 1538451760
  NPD Authorized official
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1801812359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19228 VENTURA BLVD STE A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563101",
            "telephone_number": "818-578-5125",
            "fax_number": "818-578-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19228 VENTURA BLVD STE A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563101",
            "telephone_number": "818-578-5125",
            "fax_number": "818-578-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKAKIAN",
        "first_name": "FARDIN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "deactivation_date": "2020-03-04",
        "reactivation_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39470",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Hacobian, M.S., CCC-SLP
• Hamed Haghnazar, MD, MPH
• Nilufar Haider, MS, OTR/L
• Charlotte Victoria Haigh, MS
• Zenebe Haile
• Diana Hakim, PA-C
• Aaryn Hale
• Ariel Hale
• Ashlynn Monroe Lee Hale
• Kelly Hall

• Podiatrist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.