JACK SABOUNJIAN
NPI 1972659548
Dentist - General Practice in Pasadena, CA

Q: What is Jack Sabounjian's NPI number?

The NPI number for Jack Sabounjian is 1972659548. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Jack Sabounjian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jack Sabounjian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 26, 2007PECOS Enrolled

81 N LAKE AVE, PASADENA, CA 91101(562) 863-3457 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack Sabounjian NPPES

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

JACK SABOUNJIAN (NPI 1972659548) is an individual general practice provider in Pasadena, California, licensed in California (46129) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972659548

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJACK SABOUNJIAN

Location Address81 N LAKE AVEPasadena, CA 91101-1825

Mailing AddressPo Box 3430Fullerton, CA 92834-3430 · (562) 863-3457

Phone(562) 863-3457

Sole ProprietorNo

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1972659548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 46129

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

81 N LAKE AVE, Pasadena, CA 91101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Sabounjian 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 91101 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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

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 Jack Sabounjian's NPI number?

The NPI number for Jack Sabounjian is 1972659548. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Jack Sabounjian located?

Jack Sabounjian practices at 81 N Lake Ave, Pasadena, CA 91101. The listed phone number is (562) 863-3457.

What is Jack Sabounjian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jack Sabounjian enrolled in Medicare?

Yes. Jack Sabounjian is registered in the Medicare PECOS enrollment system.

What insurance does Jack Sabounjian accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Jack Sabounjian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Sabounjian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.