Organization Active NPI

Sevag Balikian, M.D., a Professional Corporation

  • Nephrology Physician
  • Pasadena, CA
National Provider Identifier
1851635999
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A105269 Issued in CA
Legal business name
SEVAG BALIKIAN, M.D., A PROFESSIONAL CORPORATION
Practice address
301 S Fair Oaks Ave Ste 208
Pasadena, CA 91105-2562
Phone
(626) 352-0010
Fax
(626) 228-3520
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Dr. Sevag Balikian, M.D.NPI 1346485315
Title
President
Phone
(626) 318-4131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A105269 CA Primary

Addresses

Primary practice location

301 S Fair Oaks Ave Ste 208
Pasadena, CA 91105-2562

Mailing address

301 S Fair Oaks Ave Ste 208
Pasadena, CA 91105-2562
Phone (626) 352-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130107000183 CA Part B Supplier - Clinic/Group Practice 1456504141 Receives reassigned benefits from 2 practitioners
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

960 E Green St
Ste 107
Pasadena, CA 91106
Phone (626) 352-0010

301 S Fair Oaks Ave
Ste 405
Pasadena, CA 91105
Phone (626) 440-7325

2544 E Washington Blvd
Ste C
Pasadena, CA 91107
Phone (626) 398-4069

301 S Fair Oaks Ave
Ste 208
Pasadena, CA 91105
Phone (626) 431-2654

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1851635999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052562",
            "telephone_number": "626-352-0010",
            "fax_number": "626-228-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052562",
            "telephone_number": "626-352-0010",
            "fax_number": "626-228-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVAG BALIKIAN, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "BALIKIAN",
        "authorized_official_first_name": "SEVAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-318-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A105269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.