Individual provider Active NPI

James M Kohan, MD

  • Pulmonary Disease Physician
  • Escondido, CA
National Provider Identifier
1063568947
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C54757 Issued in CA
Practice address
460 N Elm St
Escondido, CA 92025-3002
Phone
(760) 737-6960
NPI assigned
Jan 25, 2007
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C54757 CA
Pulmonary Disease Physician 207RP1001X MD-13365 HI
Pulmonary Disease Physician 207RP1001X C54757 CA Primary

Addresses

Primary practice location

460 N Elm St
Escondido, CA 92025-3002

Mailing address

425 N Date St
Escondido, CA 92025-3413
Phone (760) 737-6960

Other identifiers 3

IdentifierTypeStateIssuer
00E0252881OtherHIHMSA
569337-02MedicaidHI
W14158OtherCAMEDICARE GROUP PTAN

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
I20120104000377 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1658364302 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
University of Virginia School of Medicine, 1979
Medicare assignment
May accept Medicare assignment
Group practices
24 On Physicians of California PCGroup PAC ID 7012228992, 58 clinicians
Legacy MD Medical Group IncGroup PAC ID 0446619738, 12 clinicians

Practice addresses (Care Compare)

1275 W Main St
El Centro, CA 92243-2816

1415 Ross Ave
El Centro, CA 92243-4306
Phone (760) 339-7100

1415 Ross Ave
El Centro, CA 92243-4398

207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-4892

690 Otay Lakes Rd
Suite 120
Chula Vista, CA 91910-8904
Phone (760) 352-2551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
71.11
Improvement activities
40
Cost
69.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-13365HIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy MD Medical Group Inc CurrentSince Jan 7, 2024 Accepting new patients
Galen Inpatient Physicians PC CurrentSince May 1, 2013 Accepting new patients
Vo Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Galen Inpatient Physicians, PC CurrentSince May 1, 2013 Accepting new patients
Vo Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
24 On Physicians of California, PC CurrentSince Aug 1, 2017 Accepting new patients
El Centro Regional Medical Center CurrentSince Dec 10, 2016 Accepting new patients
Imperial Manor Skilled Nursing Inc CurrentSince Aug 10, 2024 Accepting new patients
MVHS Inc Past Accepting new patients
Wilcox Memorial Hospital Past Accepting new patients
Legacy MD Medical Group Inc PastSince May 28, 2024 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine Past Accepting new patients

Locations

290 Main St
Brawley, CA 92227
Phone (760) 352-2551

222 E Cole Blvd
Calexico, CA 92231
Phone (760) 352-2551

222 E Cole Blvd
Ste C
Calexico, CA 92231
Phone (760) 352-2551

690 Otay Lakes Rd
Ste 120
Chula Vista, CA 91910
Phone (619) 397-7800

690 Otay Lakes Rd
Ste 125
Chula Vista, CA 91910
Phone (760) 352-2551

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

1590 S Imperial Ave
El Centro, CA 92243
Phone (760) 352-2551

1699 N Imperial Ave
El Centro, CA 92243
Phone (442) 283-3494

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

81812 Doctor Carreon Blvd
Ste E
Indio, CA 92201
Phone (442) 236-1498

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: james.kohan@ecrmc.eclinicaldirectplus.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1063568947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413",
            "telephone_number": "760-737-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N ELM ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253002",
            "telephone_number": "760-737-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHAN",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C54757",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "MD-13365",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C54757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00E0252881",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569337-02",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "W14158",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.