Individual provider Active NPI

Katty Sahakian, M.D.

  • Pediatrics Physician
  • Montrose, CA
National Provider Identifier
1932399029
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A106320 Issued in CA
Practice address
2048 Montrose Ave
Montrose, CA 91020-1605
Phone
(818) 957-2224
Fax
(818) 244-2261
NPI assigned
Jul 26, 2007
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A106320 CA Primary

Addresses

Primary practice location

2048 Montrose Ave
Montrose, CA 91020-1605

Mailing address

519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020

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
I20101230000179 CA Practitioner - Pediatric Medicine 6800084120 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106320CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Mar 3, 2015 Accepting new patients
County of Los Angeles CurrentSince Mar 3, 2015 Accepting new patients
Ridgecrest Regional Hospital Past Accepting new patients
All for Health Health for All Inc Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

1000 W Carson St
#480
Torrance, CA 90502
Phone (310) 222-5026

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: katty.sahakianmd.p1@direct.afh.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1932399029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051110",
            "telephone_number": "818-409-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 MONTROSE AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201605",
            "telephone_number": "818-957-2224",
            "fax_number": "818-244-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAKIAN",
        "first_name": "KATTY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A106320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

Verify at the official NPI Registry.