Organization Active NPI

J.H.S. Medical Center, Inc.

Doing business as Jack Sarkisian

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1265564496
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A43433 Issued in CA
Legal business name
J.H.S. MEDICAL CENTER, INC.
Doing business as
Jack Sarkisian
Practice address
1030 S Glendale Ave Ste 404
Glendale, CA 91205-2866
Phone
(818) 240-9911
Fax
(818) 240-9939
NPI assigned
Mar 12, 2007
Last updated
Feb 1, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
J.H.S. MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Mrs. Maria Sarkisan, PHARMACIST
Title
Vice President
Phone
(818) 240-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A43433 CA Primary

Addresses

Primary practice location

1030 S Glendale Ave Ste 404
Glendale, CA 91205-2866

Mailing address

1030 S Glendale Ave Ste 404
Glendale, CA 91205-2866
Phone (818) 240-9911

Other names 1

  • JACK SARKISIAN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101116000117 CA Part B Supplier - Clinic/Group Practice 5799978870 Receives reassigned benefits from 5 practitioners
Practice locations: Glendale, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0961346Jack H Sarkisian MD Medical Center1030 S Glendale Ave Ste 404, Glendale, CA 91205Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory
Part of
JHS Medical Center Inc

Locations

1030 S Glendale Ave
Ste 404
Glendale, CA 91205
Phone (818) 240-9911

1031 S Glendale Ave Ste 404
Glendale, CA 91205

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1265564496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 404",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-240-9911",
            "fax_number": "818-240-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 404",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-240-9911",
            "fax_number": "818-240-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.H.S. MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J.H.S. MEDICAL CENTER, INC",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "SARKISAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-240-9911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A43433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACK SARKISIAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.