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JACQUELINE MARIE DEIRMENJIAN MD
NPI 1679203087
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since June 16, 2022PECOS Enrolled
8723 ALDEN DR STE 290, LOS ANGELES, CA 90048(310) 423-3870 Get Directions Write a Review

NPPES record last updated: July 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1679203087
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE MARIE DEIRMENJIANCredential: MD
Location Address8723 ALDEN DR STE 290Los Angeles, CA 90048-3692
Mailing Address8723 Alden Dr Ste 290Los Angeles, CA 90048-3692
Phone(310) 423-3870
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2022
Enumeration DateJune 16, 2022
Last NPPES UpdateJuly 13, 2025
NPPES CertifiedJuly 13, 2025
✔ NPI 1679203087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8723 ALDEN DR STE 290, Los Angeles, CA 90048
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Marie Deirmenjian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193292357
PECOS Enrollment IDI20260424001045
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

YELBA MARIAHELI CASTELLON-LOPEZ M.D.
Family Medicine
8723 ALDEN DR STE 290
LOS ANGELES, CA 90048
Los Angeles County (310) 423-4683
JAMES L. KIRKLAND M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8723 ALDEN DR STE 290
LOS ANGELES, CA 90048
Los Angeles County (310) 423-3870
LISA CHANG MD
Internal Medicine
8723 ALDEN DR STE 290
LOS ANGELES, CA 90048
Los Angeles County (310) 423-2811
CEDARS-SINAI MEDICAL CENTER
Durable Medical Equipment & Medical Supplies
8723 ALDEN DR STE 290
LOS ANGELES, CA 90048
Los Angeles County (310) 423-3870
PRISCILLA PHAN DO
Student in an Organized Health Care Education/Training Program
8723 ALDEN DR STE 290
LOS ANGELES, CA 90048
Los Angeles County (310) 385-3228
DENNIS HAO CHEN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8723 ALDEN DR STE 290
LOS ANGELES, CA 90048
Los Angeles County (310) 423-3277
MICHELLE KOH
Student in an Organized Health Care Education/Training Program
8723 ALDEN DR STE 290
LOS ANGELES, CA 90048
Los Angeles County (310) 423-3870
DANIEL MYUNG KIM MD
Internal Medicine
8723 ALDEN DR STE 290
LOS ANGELES, CA 90048
Los Angeles County (310) 423-2811

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.

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 12 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.