JACK K. DER-SARKISSIAN MD
NPI 1811068885
Family Medicine in Los Angeles, CA

Q: What is Jack Der-sarkissian's NPI number?

The NPI number for Jack Der-sarkissian is 1811068885. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Jack Der-sarkissian's specialty?

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

Active since November 13, 2006PECOS Enrolled

4733 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 783-4011 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack K. Der-sarkissian Md NPPES

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

JACK K. DER-SARKISSIAN MD (NPI 1811068885) is an individual family medicine provider in Los Angeles, California, licensed in California (A60009) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811068885

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACK K. DER-SARKISSIANCredential: MD

Location Address4733 W SUNSET BLVDLos Angeles, CA 90027-6021

Mailing Address4733 W Sunset BlvdLos Angeles, CA 90027-6021 · (323) 783-4011

Phone(323) 783-4011

Sole ProprietorNo

Enumeration DateNovember 13, 2006

Last NPPES UpdateNovember 30, 2021

✔ NPI 1811068885 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 · A60009

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.

4733 W SUNSET BLVD, Los Angeles, CA 90027

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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)

Jack K. Der-sarkissian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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