Basic Information
| Provider Information | |||||||||
| NPI: | 1427159797 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SARCHISIAN | ||||||||
| FirstName: | ARMINE | ||||||||
| MiddleName: | P. | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HADAR | ||||||||
| OtherFirstName: | ARMINE | ||||||||
| OtherMiddleName: | PAMBOUKHTCHIAN | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 439 ROCKPORT CIR | ||||||||
| Address2: | |||||||||
| City: | FOLSOM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956306796 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | |||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3000 Q ST | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958167058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167333333 | ||||||||
| FaxNumber: | 9167335385 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 01/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | A88703 | CA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | MCMG470500 | 01 | CA | WESTERN HEALTH ADVANTAGE | OTHER | 2688887 | 01 | CA | UNITED HEALTHCARE | OTHER | 00A887030 | 01 | CA | BLUE SHIELD | OTHER | 00A887030 | 05 | CA | MEDICAID | 131494 | 01 | CA | HEALTH NET | OTHER | 2095333 | 01 | CA | GREAT WEST | OTHER | 454757 | 01 | CA | INTERPLAN | OTHER | 6987674 | 01 | CA | CIGNA | OTHER | 000810796036 | 01 | CA | PHCS | OTHER | 7683803 | 01 | CA | AETNA | OTHER | 5703792 | 01 | CA | FIRST HEALTH | OTHER | 90204607 | 01 | CA | PACIFICARE | OTHER | A88703 | 01 | CA | BLUE CROSS | OTHER |