Active NPI
Kevork Kazanjian, M.D.
- Colon & Rectal Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- A81738
- Practice address
- 200 UCLA Medical PLZ Ste 214
Los Angeles, CA 90095-8344 - Phone
- (310) 206-0585
- Fax
- (310) 825-0189
- NPI assigned
- Nov 7, 2007
- Last updated
- Dec 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A81738 | CA | |
| Colon & Rectal Surgery Physician | 208C00000X | A81738 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 214
Los Angeles, CA 90095-8344
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
25775 McBean Pkwy Ste 115
Valencia, CA 91355-3702
Phone (661) 255-2420
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
- Colorectal Surgery (Proctology)
- Education
- University of California, Geffen School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Medical Plaza
Suite 310
Los Angeles, CA 90095-0001
Phone (310) 267-7838
1260 15TH St
Suite 1200
Santa Monica, CA 90404-1147
Phone (310) 451-8751
757 Westwood PLZ
FL 7
Los Angeles, CA 90095-8358
Phone (310) 825-9111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.77 of 100
- Quality
- 69.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81738 | CA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Associated General Surgeons | Surgery | Current | Accepting new patients |
| UCLA Medical Group | Surgery | Past | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| UCLA Associated General Surgeons | Surgery | Past | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients |
Locations
100 UCLA Medical Plz
Ste 700
Los Angeles, CA 90024
Phone (310) 206-0367
200 UCLA Medical Plz
Ste 214
Los Angeles, CA 90095
Phone (310) 794-7788
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 54206
Los Angeles, CA 90074
1260 15th St
Ste 1200
Santa Monica, CA 90404
Phone (310) 451-8751
Interoperability endpoints
- kkazanjian309921@direct.uclahealth.org
Organizations & group practices 6
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.
-
- Surgery Physician
- Los Angeles, CA
- NPI 1730147372
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
dba Resnick Neuropsychiatric Hospital at UCLA
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
dba Santa Monica UCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
dba Associated General Surgeons
- Surgery Physician
- Santa Monica, CA
- NPI 1821056458
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ronald Reagan UCLA Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1053591941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 214",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958344",
"telephone_number": "310-206-0585",
"fax_number": "310-825-0189"
}
],
"practiceLocations": [
{
"address_1": "25775 McBean Pkwy Ste 115",
"address_purpose": "LOCATION",
"city": "Valencia",
"state": "CA",
"postal_code": "913553702",
"country_code": "US",
"telephone_number": "661-255-2420",
"fax_number": "661-259-0552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAZANJIAN",
"first_name": "KEVORK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-07",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A81738",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "A81738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.