Individual provider Active NPI

Jean-Pierre E Antaki, M.D.

  • Infectious Disease Physician
  • Glendale, CA
National Provider Identifier
1013972876
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
F13854 Issued in CA
Practice address
801 S Chevy Chase Dr
#105
Glendale, CA 91205-4431
Phone
(818) 242-5299
Fax
(818) 637-7607
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X F13854 CA Primary

Addresses

Primary practice location

801 S Chevy Chase Dr
#105
Glendale, CA 91205-4431

Mailing address

801 S Chevy Chase Dr
#105
Glendale, CA 91205-4431
Phone (818) 242-5299

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
I20040419001017 CA Practitioner - Infectious Disease 1153316161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

801 S Chevy Chase Dr
Suite 101
Glendale, CA 91205-4437
Phone (323) 242-5299

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F13854CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antaki & Associates Infectious Disease Medical Group Inc Infectious Disease CurrentSince Jan 1, 1999 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

801 S Chevy Chase Dr
Ste 101
Glendale, CA 91205
Phone (323) 242-5299

801 S Chevy Chase Dr
Ste 105
Glendale, CA 91205
Phone (818) 242-5299

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Comprehensive Community Health CentersGlendale, CA, CCN 051071 Federally qualified health center Corporate Director Sep 14, 2009
Comprehensive Community Health CentersNorth Hollywood, CA, CCN 551969 Federally qualified health center Corporate Director Sep 14, 2009
Comprehensive Community Health CentersLos Angeles, CA, CCN 551967 Federally qualified health center Corporate Director Sep 14, 2009
Comprehensive Community Health CentersLos Angeles, CA, CCN 551968 Federally qualified health center Corporate Director Sep 14, 2009
Comprehensive Community Health CentersSunland, CA, CCN 751961 Federally qualified health center Corporate Director Sep 14, 2009
Comprehensive Community Health CentersArleta, CA, CCN A01165 Federally qualified health center Corporate Director Sep 14, 2009

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013972876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "#105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-242-5299",
            "fax_number": "818-637-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "#105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-242-5299",
            "fax_number": "818-637-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTAKI",
        "first_name": "JEAN-PIERRE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "F13854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.