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

Q: 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.

Q: 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.

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: October 25, 2026.

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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

Phone(626) 200-4500

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

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacklin Poladian, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacklin Poladian, M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacklin Poladian, M.D.

Internal Medicine

NPI 1629239892

800 SOUTH FAIRMOUNT AVE. SUITE 420
Pasadena, CA 91105

(626) 200-4500

✔ PECOS✔ Accepts MedicareSame address

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 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.

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.

Is Jacklin Poladian, M.D., Inc. enrolled in Medicare?

Yes. Jacklin Poladian, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacklin Poladian, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jacklin Poladian, M.D., Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 3 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.