Individual provider Active NPI

Sedrak Sam Kesablyan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sherman Oaks, CA
National Provider Identifier
1811822521
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Practice address
14144 Ventura Blvd Ste 280
Sherman Oaks, CA 91423-2769
Phone
(818) 231-9111
NPI assigned
Jun 15, 2026
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CA Primary

Addresses

Primary practice location

14144 Ventura Blvd Ste 280
Sherman Oaks, CA 91423-2769

Mailing address

14144 Ventura Blvd Ste 280
Sherman Oaks, CA 91423-2769
Phone (818) 231-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1811822521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14144 VENTURA BLVD STE 280",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232769",
            "telephone_number": "818-231-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14144 VENTURA BLVD STE 280",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232769",
            "telephone_number": "818-231-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESABLYAN",
        "first_name": "SEDRAK",
        "middle_name": "SAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.