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HALCYONA SORCERESS DO
NPI 1922462084
Family Medicine in Mission Hills, CA

Active since April 05, 2016PECOS Enrolled
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345(818) 365-9531 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 26, 2019, Aug 7, 2019 (2 updates tracked since 2019).

About Halcyona Sorceress Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALCYONA SORCERESS DO (NPI 1922462084) is an individual family medicine provider in Mission Hills, California, licensed in California (17541) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Marina Del Rey.

NPPES Registry Identity

NPI1922462084
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHALCYONA SORCERESSCredential: DO
Location Address11333 SEPULVEDA BLVDMission Hills, CA 91345-1116
Mailing Address11333 Sepulveda BlvdMission Hills, CA 91345-1116 · (818) 365-9531
Phone(818) 365-9531
Sole ProprietorNo
Enumeration DateApril 5, 2016
Last NPPES UpdateSeptember 26, 20192 updates tracked since enumeration
✔ NPI 1922462084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 17541✔ Licensed in NY · 298983
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11333 SEPULVEDA BLVD, Mission Hills, CA 91345
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Secondary Practice Location 1

Location 113940 Tahiti Way Apt 225Marina Del Rey, CA 90292-6525 · Phone (954) 559-2250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Halcyona Sorceress Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Halcyona Sorceress reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Systems, Inc.
63 mi
Federally Qualified Health Center (FQHC)
18601 VALLEY BLVD
Bloomington, CA 92316
  • Reassigned Medicare billing, California enrollment
  • 86 clinicians in this Medicare group
NPI 1487706347 (909) 546-7520

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARTHI RAKSHEN SHAH M.D.
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
ARMIN TAHOORI M.D.
Hospitalist
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
DR. HENIE FIALKOFF M.D.
Pediatrics
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7200
JENNIFER ANN SHIELDS RPT.
Physical Therapist
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
SIMON DARDASHTI M.D.
Anesthesiology
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7726
ROHIT R KEDIA D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
TRICIA A SCHREINER-DUNCAN P.A.
Physician Assistant
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
SOURABH SURYADEVARA M.D.
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Halcyona Sorceress's NPI number?

The NPI number for Halcyona Sorceress is 1922462084. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Halcyona Sorceress located?

Halcyona Sorceress practices at 11333 Sepulveda Blvd, Mission Hills, CA 91345. The listed phone number is (818) 365-9531.

What is Halcyona Sorceress's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Halcyona Sorceress enrolled in Medicare?

Yes. Halcyona Sorceress is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Halcyona Sorceress's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Halcyona Sorceress reassigns Medicare benefits to Community Health Systems, Inc. (Bloomington, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Halcyona Sorceress's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Halcyona Sorceress was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.