Mazen Choulakian, MD, FRCSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A131543 Issued in CA

Practice address

4680 Y St
Ste 2400
Sacramento, CA 95817-2307

Phone

(916) 734-6602

Fax

(916) 734-6992

NPI assigned

Jul 2, 2014

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1871909515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 Y STREET",
            "address_2": "SUITE 2400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6602",
            "fax_number": "916-734-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 Y ST",
            "address_2": "STE 2400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6602",
            "fax_number": "916-734-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOULAKIAN",
        "first_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "MD, FRCSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A131543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zain Ulabidin Choudhary, DMD
• Afnan Choudhry, DDS
• Neeharika Choudhry, M.D.
• Sunya Naveed Choudhry
• Harmon Chouhan, DDS
• Alison Makiko Motosue Chow, MD
• Amy Leiw Chow
• Barbara Pak Yun Yip Chow, PT
• Clifford Alan Chow, D.D.S.
• Helen Chow, M.D.

• Ophthalmology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.