JACQUELINE MARIE DEIRMENJIAN MD
NPI 1679203087
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Jacqueline Marie Deirmenjian Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MARIE DEIRMENJIAN MD (NPI 1679203087) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Marie Deirmenjian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Deirmenjian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 1,001 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
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 Jacqueline Deirmenjian's NPI number?
The NPI number for Jacqueline Deirmenjian is 1679203087. It was assigned to this individual provider in the NPPES registry on June 16, 2022.
Where is Jacqueline Deirmenjian located?
Jacqueline Deirmenjian practices at 8723 Alden Dr Ste 290, Los Angeles, CA 90048. The listed phone number is (310) 423-3870.
What is Jacqueline Deirmenjian's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacqueline Deirmenjian enrolled in Medicare?
Yes. Jacqueline Deirmenjian is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Deirmenjian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Deirmenjian reassigns Medicare benefits to Cedars-Sinai Medical Center (Los Angeles, CA). The 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 Jacqueline Deirmenjian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Deirmenjian was last updated on July 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Jacqueline Marie Deirmenjian, MD · NPI 1679203087
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 16, 2022.
## Identity
- **NPI:** 1679203087 (Entity type: Individual)
- **Enumerated:** June 16, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 8723 ALDEN DR STE 290, Los Angeles, CA 90048-3692
- **Phone:** (310) 423-3870
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cedars-Sinai Medical Center (NPI 1639172372, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** July 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679203087) · Data from the CMS NPPES public registry.