Jacklyn Sarkissian, P.A-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53134 Issued in CA

Practice address

13425 Ventura Blvd Ste 102
Sherman Oaks, CA 91423-3995

Phone

(818) 995-7784

NPI assigned

Feb 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jacklyn Kourkchian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1144689076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5932 BALCOM AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161107",
            "telephone_number": "818-208-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 VENTURA BLVD STE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233995",
            "telephone_number": "818-995-7784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8338 Rosemead Blvd",
            "address_purpose": "LOCATION",
            "city": "Pico Rivera",
            "state": "CA",
            "postal_code": "906605111",
            "country_code": "US",
            "telephone_number": "562-942-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARKISSIAN",
        "first_name": "JACKLYN",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-20",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKLYN",
            "last_name": "KOURKCHIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sapphire Medical Transport Inc
• Kareem S Sarakbi
• Maryam Sareminia, AMFT
• Sofia Weiss Sarkisian
• Arutyun Sarkissian, PHARMD
• Ruzan Sarkissian, D.D.S.
• Prince Harjinder Saroya-Singh
• Richard Joseph Sarte, DPM INC
• Alina Sarukhanova, CNIM
• Nancy Green Satenberg

• Physician Assistant in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.