Active NPI
Kartik Kansagra
- Vascular & Interventional Radiology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A143946
- Practice address
- 1509 Wilson Ter
Glendale, CA 91206-4007 - Phone
- (818) 409-8000
- NPI assigned
- Mar 24, 2015
- Last updated
- Dec 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | A143946 | CA | Primary |
Addresses
Primary practice location
1509 Wilson Ter
Glendale, CA 91206-4007
Mailing address
28049 Smyth Dr
Valencia, CA 91355-4023
Phone (818) 906-6900
Other practice location 1
4733 W Sunset Blvd Fl 3
Los Angeles, CA 90027-6021
Phone (323) 783-4516
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Tulane University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099
1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000
15477 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3046
Phone (818) 906-2141
28049 Smyth Dr
Valencia, CA 91355-4023
Phone (818) 906-6900
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000
Hospital & facility affiliations
- Glendale Adventist Medical Center
- Adventist Health Simi Valley
- Usc Verdugo Hills Hospital
- Glendale Mem Hospital & HLTH Center
- Ridgecrest Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 78.77
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 16 |
| Leg revascularization (restoring blood flow) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A143946 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Single Specialty | Current | Accepting new patients |
| Glendale Adventist Medical Center | Current | Accepting new patients | |
| Evsla Medical Corporation | Single Specialty | Current | Accepting new patients |
| Southern California Permanente Medical Group | Single Specialty | Current | Accepting new patients |
| Glendale Adventist Medical Center | Single Specialty | Current | Accepting new patients |
| MD Solutions Medical Corp | Single Specialty | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients |
Locations
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3184
18501 Gale Ave
Ste 150
City of Industry, CA 91748
Phone (626) 854-2020
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
1530 E Chevy Chase Dr
Ste 107
Glendale, CA 91206
Phone (661) 705-9706
25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111
1127 Wilshire Blvd
Ste 1000
Los Angeles, CA 90017
Phone (213) 328-3600
3616 E 1st St
Los Angeles, CA 90063
Phone (213) 264-6157
4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784
4733 W Sunset Blvd
Fl 3
Los Angeles, CA 90027
Phone (323) 783-1431
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
1064 N Ventura Rd
Oxnard, CA 93030
13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417
10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
15477 Ventura Blvd
Ste 100
Sherman Oaks, CA 91403
Phone (818) 906-2141
2950 Sycamore Dr
Ste 200
Simi Valley, CA 93065
Phone (661) 705-9706
28049 Smyth Dr
Valencia, CA 91355
Phone (661) 705-9706
888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400
5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular & Interventional Radiology Physician
- Valencia, CA
- NPI 1477233898
Single Specialty
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
Single Specialty
-
dba Unified Health care Inc.
- Dermatology Physician
- Sherman Oaks, CA
- NPI 1902837735
Single Specialty
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
Single Specialty
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
Single Specialty
-
dba Adventist Health Glendale
- Psychiatric Hospital Unit
- Glendale, CA
- NPI 1336138403
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Fontana, CA
- NPI 1316463763
-
dba Target Clinic Medical Associates of Southern California
- Health Maintenance Organization
- Rosemead, CA
- NPI 1942787114
-
dba Adventist Health Glendale
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Glendale Memorial Hospital and Health Center
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
- Critical Access Hospital
- Ridgecrest, CA
- NPI 1447253125
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1033716147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1043604465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28049 SMYTH DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554023",
"telephone_number": "818-906-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WILSON TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "818-409-8000"
}
],
"practiceLocations": [
{
"address_1": "4733 W Sunset Blvd Fl 3",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900276021",
"country_code": "US",
"telephone_number": "323-783-4516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANSAGRA",
"first_name": "KARTIK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-24",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A143946",
"primary": true
}
],
"identifiers": [],
"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": "4733 W Sunset Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900276021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.