SUSAN K. BOUDAKIAN DO
NPI 1982808010
Pediatrics in Los Angeles, CA
About Susan K. Boudakian Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN K. BOUDAKIAN DO (NPI 1982808010) is an individual pediatrics provider in Los Angeles, California, licensed in California (20A6939) and active in the NPI registry since June 2007. She has opted out of Medicare through October 1, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Susan K. Boudakian Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90034
LOS ANGELES, CA 90034
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 Susan Boudakian's NPI number?
The NPI number for Susan Boudakian is 1982808010. It was assigned to this individual provider in the NPPES registry on June 13, 2007.
Where is Susan Boudakian located?
Susan Boudakian practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2000.
What is Susan Boudakian's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Susan Boudakian enrolled in Medicare?
No. Susan Boudakian has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Susan Boudakian was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Susan K. Boudakian, DO · NPI 1982808010
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 13, 2007.
## Identity
- **NPI:** 1982808010 (Entity type: Individual)
- **Enumerated:** June 13, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 20A6939 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6041 CADILLAC AVE, Los Angeles, CA 90034-1702
- **Phone:** (323) 857-2000
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** September 23, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1982808010) · Data from the CMS NPPES public registry.