Individual provider Active NPI

Houman M. Kashani, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1063468346
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A84361 Issued in CA
Practice address
747 Warehouse St
5TH Floor
Los Angeles, CA 90021-1106
Phone
(213) 622-3100
Fax
(866) 867-2392
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A84361 CA
Family Medicine Physician 207Q00000X A84361 CA Primary

Addresses

Primary practice location

747 Warehouse St
5TH Floor
Los Angeles, CA 90021-1106

Mailing address

PO Box 49901
Los Angeles, CA 90049-0901
Phone (213) 622-3100

Other identifiers 2

IdentifierTypeStateIssuer
A84361OtherCABLUE CROSS
00A843610MedicaidCA

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
I20040903001025 CA Practitioner - Family PracticePractitioner - Emergency Medicine 7810963477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18355 Sherman Way
Reseda, CA 91335-4436
Phone (818) 343-0964

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84361CAMDPharmacist
A84361CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Jun 1, 2011 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Houman M Kashani, MD Apc Past Accepting new patients
Burbank Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Jse Emergency Medical Group Emergency Medicine Past Accepting new patients
Dignity Community Care Past Accepting new patients
Houman M Kashani. MD a Prof Corp Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Houman M Kashani, MD Apc Past Accepting new patients

Locations

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1063468346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900490901",
            "telephone_number": "213-622-3100",
            "fax_number": "866-867-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 WAREHOUSE ST",
            "address_2": "5TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211106",
            "telephone_number": "213-622-3100",
            "fax_number": "866-867-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHANI",
        "first_name": "HOUMAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A84361",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A84361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "A84361",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A843610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.