Individual provider Active NPI

Arbi Khemichian, MD

  • Ophthalmology Physician
  • Torrance, CA
National Provider Identifier
1003056516
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A117900 Issued in CA
Practice address
21320 Hawthorne Blvd. #104
Torrance, CA 90503
Phone
(310) 543-2611
NPI assigned
Feb 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X N5775 TX
Ophthalmology Physician 207W00000X A117900 CA Primary

Addresses

Primary practice location

21320 Hawthorne Blvd. #104
Torrance, CA 90503

Mailing address

10 Congress St
Ste 340
Pasadena, CA 91105-3020
Phone (626) 796-5325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000776 CA Practitioner - Ophthalmology 3173647419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
R Franklin University of Med & Sci/Chicago Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pasadena Eye Medical GroupGroup PAC ID 4688601826, 4 clinicians

Practice addresses (Care Compare)

10 Congress St
Suite 340
Pasadena, CA 91105-3020
Phone (626) 796-5325

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A117900CAMDOphthalmology Physician
N5775TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Eye Medical Group Ophthalmology CurrentSince Jul 27, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group Ophthalmology CurrentSince Feb 21, 2012 Accepting new patients
Pasadena Eye Medical Group CurrentSince Jul 27, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 21, 2012 Accepting new patients
Markman & Wolstan, a Medical Group Ophthalmology Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

10 Congress St
Ste 340
Pasadena, CA 91105
Phone (626) 796-5325

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1003056516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "STE 340",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053020",
            "telephone_number": "626-796-5325",
            "fax_number": "626-796-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD. #104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-543-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEMICHIAN",
        "first_name": "ARBI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-23",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N5775",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A117900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.