JACKLIN POLADIAN, M.D., INC.
NPI 1598033920
Clinic/Center - Primary Care in Pasadena, CA

Active since December 13, 2011CLIA 05D2038926 · Waiver
800 FAIRMOUNT AVE STE 420, PASADENA, CA 91105(626) 200-4500(626) 795-0704 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacklin Poladian, M.d., Inc. NPPES

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

JACKLIN POLADIAN, M.D., INC. (NPI 1598033920) is a healthcare organization registered as a primary care in Pasadena, California and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Jacklin Poladian, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1598033920
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJACKLIN POLADIAN, M.D., INC.
Location Address800 FAIRMOUNT AVE STE 420Pasadena, CA 91105-3154
Mailing Address301 S Fair Oaks Ave, Suite 403Pasadena, CA 91105-2561 · (626) 200-4500 · Fax (626) 795-0704
Fax(626) 795-0704
Organization SubpartNo
Authorized OfficialJacklin PoladianChief Executive Officer · (626) 200-4500
Enumeration DateDecember 13, 2011
Last NPPES UpdateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
NPI 1598033920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · A110327
800 FAIRMOUNT AVE STE 420, Pasadena, CA 91105

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 05D2038926

Jacklin Poladian MD Inc · Pasadena, CA
Active · expires Mar 27, 2028
CLIA Number05D2038926
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorJacklin Poladian
Laboratory Phone(626) 200-4500
Laboratory LocationJacklin Poladian MD Inc800 S Fairmount Ave Ste 420, Pasadena, CA 91105
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
800 FAIRMOUNT AVE STE 420
PASADENA, CA 91105
Specialist
800 FAIRMOUNT AVE STE 420
PASADENA, CA 91105
Nurse Practitioner (Family)
800 FAIRMOUNT AVE STE 420
PASADENA, CA 91105
Specialist
800 FAIRMOUNT AVE STE 420
PASADENA, CA 91105

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 Jacklin Poladian, M.D., Inc.'s NPI number?

The NPI number for Jacklin Poladian, M.D., Inc. is 1598033920. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Jacklin Poladian, M.D., Inc. located?

Jacklin Poladian, M.D., Inc. is located at 800 Fairmount Ave Ste 420, Pasadena, CA 91105. The listed phone number is (626) 200-4500.

What is Jacklin Poladian, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Jacklin Poladian, M.D., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2038926) is associated with this NPI, valid through March 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jacklin Poladian, M.D., Inc. was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.