Ivet Sarkissian Pekacheki, M.S., R.D.
Dietitian, Registered in Glendale, CA. Individual provider (NPI-1).
NPI number1124117643
StatusActive
Last updated in NPPESNov 1, 2007
Details
- NPI
- 1124117643
- Entity type
- Individual (NPI-1)
- Name
- Ivet Sarkissian Pekacheki
- Credential
- M.S., R.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2006
- Last updated
- Nov 1, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONA
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 931161 | CA | Yes |
Practice location
1505 Wilson Ter# 155
Glendale, CA 91206-4071
Phone 818-500-4055
Mailing address
1450 Ardmore AveGlendale, CA 91202-1516
Phone 818-590-5940
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