Deven Khosla, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

C52516 Issued in CA

Practice address

2811 Wilshire Blvd Ste 950
Santa Monica, CA 90403-4809

Phone

(775) 530-9669

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

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

Specialty

Neurosurgery

Education

Loyola University of Chicago, Stritch School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Achieve Brain and Spine IncGroup PAC ID 0244570141, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• White Glove Home Health, Inc Home health agency, Van Nuys, CA, CCN 559335
• Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
• Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: deven.khosla.1@26092.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19074/brand/1/csg/1/fhir/r4
• Direct secure messaging: deven.khosla.1@19074.direct.athenahealth.com

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.

• Achieve Brain and Spine, Inc

  • Neurological Surgery Physician
  • Santa Monica, CA
  • NPI 1437621117
  Medicare reassignment Care Compare group NPD Authorized official
• Inpatient Specialists of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1952792475
  Medicare reassignment NPD
• Kaweah Delta Health Care District

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1326704529
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• California Iom Incorporated

  • Neurological Surgery Physician
  • Santa Monica, CA
  • NPI 1205402617
  NPD
• Kaweah Delta Health Care District

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1184169781
  NPD
• Kaweah Delta Health Care District

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1447016050
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Anaheim, CA
  • NPI 1952333460
  NPD
• Ersno Eromo, MD Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1750842076
  NPD (past)
• Providence Saint John'S Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  NPD (past)
• Southern California Healthcare System, Inc

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  NPD (past)
• The Regents of the University of California

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1982849105
  NPD (past)

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

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation
• Providence Saint John'S Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  Care Compare affiliation
• Tarzana Medical Center LLC

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  Care Compare affiliation
• White Glove Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1710447180
  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1013962885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 950",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034809",
            "telephone_number": "775-530-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 950",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034809",
            "telephone_number": "775-530-9669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5590 Kietzke Ln",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895113019",
            "country_code": "US",
            "telephone_number": "775-323-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "DEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C52516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPY195323",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "880167036A004",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CC3105",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016819",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5601 De Soto Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913676701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amin Khorsandi, M.D.
• Homayoon B Khorsandi, PHARM.D.
• Parisa Arman Khorsandi, M.D.
• Lamees Khorshid, PSYD, BCB
• Katayoun Khoshbin, MD
• Ashkan Khosravi
• Sanaz Khoubnazar, D.M.D.
• Khuyen Nguyen PC Dba the Gleamery
• Adam Jason Kidd, M.A.
• Kiddox Medical Group, Inc.

• Neurological Surgery Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.