JACK SARKISIAN
NPI 1265564496
Family Medicine in Glendale, CA

Active since March 12, 2007CLIA 05D0961346 · Waiver
1030 S GLENDALE AVE STE 404, GLENDALE, CA 91205(818) 240-9911(818) 240-9939 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jack Sarkisian NPPES

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

JACK SARKISIAN (NPI 1265564496) is a healthcare organization registered as a family medicine in Glendale, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Maria Sarkisan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1265564496
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJ.H.S. MEDICAL CENTER, INC.
Location Address1030 S GLENDALE AVE STE 404Glendale, CA 91205-2866
Mailing Address1030 S Glendale Ave Ste 404Glendale, CA 91205-2866 · (818) 240-9911 · Fax (818) 240-9939
Fax(818) 240-9939
Organization SubpartYesParent: J.h.s. Medical Center, Inc
Authorized OfficialMaria SarkisanVice President · (818) 240-9911
Enumeration DateMarch 12, 2007
Last NPPES UpdateFebruary 1, 2013
✔ NPI 1265564496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A43433
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.
1030 S GLENDALE AVE STE 404, Glendale, CA 91205

Other Names 1

Doing Business AsJack Sarkisian

Other Identifiers 2

Medicare PINW15394CA
Medicare PINFC726Z

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Sarkisian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Jack Sarkisian, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Anesthesiology
NPI 1003838061
1030 S. GLENDALE AVE. SUITE 404
Glendale, CA 91205
(818) 240-9911
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972909406
1030 S GLENDALE AVE STE 404
Glendale, CA 91205
(818) 240-9911
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1689686875
2120 W 8TH ST STE 200
Los Angeles, CA 90057
(213) 387-5400
✔ PECOS✔ Accepts Medicare5.7 mi
General Practice
NPI 1497963938
4789 VINELAND AVE STE 101
North Hollywood, CA 91602
(323) 436-0303
✔ PECOS✔ Accepts Medicare7.0 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0961346

Jack H Sarkisian MD Medical Center · Glendale, CA
Active · expires Jun 2, 2027
CLIA Number05D0961346
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorDr. David M. Rekar
Laboratory Phone(818) 240-9911
Laboratory LocationJack H Sarkisian MD Medical Center1030 S Glendale Ave Ste 404, Glendale, CA 91205
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 J.H.S. Medical Center, Inc.'s NPI number?

The NPI number for J.H.S. Medical Center, Inc. is 1265564496. It was assigned to this organization in the NPPES registry on March 12, 2007. The provider is doing business as Jack Sarkisian.

Where is J.H.S. Medical Center, Inc. located?

J.H.S. Medical Center, Inc. is located at 1030 S Glendale Ave Ste 404, Glendale, CA 91205. The listed phone number is (818) 240-9911.

What is J.H.S. Medical Center, Inc.'s specialty?

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

Is J.H.S. Medical Center, Inc. enrolled in Medicare?

Yes. J.H.S. Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through J.H.S. Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to J.H.S. Medical Center, Inc., in Anesthesiology, General Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does J.H.S. Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0961346) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for J.H.S. Medical Center, Inc. was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.