Active NPI
Justin Koh, M.D.
- Orthopaedic Hand Surgery Physician
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- A185882
- Practice address
- 18370 Burbank Blvd Ste 100
Tarzana, CA 91356-2818 - Phone
- (424) 314-7630
- NPI assigned
- Mar 29, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 268697 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Hand Surgery Physician | 207XS0106X | A185882 | CA | Primary |
Addresses
Primary practice location
18370 Burbank Blvd Ste 100
Tarzana, CA 91356-2818
Mailing address
725 Albany St
Shapiro, Suite 4B
Boston, MA 02118-2526
Phone (617) 638-8934
Other practice location 1
725 Albany St
Shapiro, Suite 4B
Boston, MA 02118-2526
Phone (617) 638-8934
Other practice location 2
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18370 Burbank Blvd
Suite 100
Tarzana, CA 91356-2818
Phone (424) 314-7630
18370 Burbank Blvd
Suite 601
Tarzana, CA 91356-2831
Phone (818) 996-5700
8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-1447
8723 Alden Dr
Suite 260
Los Angeles, CA 90048-1804
Phone (310) 248-8299
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Brigham & Womens Physicians Organization Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients | |
| Boston University Family Medicine, Inc. | Past | Accepting new patients | |
| Boston University Orthopaedic Surgical Associates, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
8635 W 3rd St
Ste 990W
Los Angeles, CA 90048
Phone (310) 423-5900
18370 Burbank Blvd
Ste 100
Tarzana, CA 91356
Phone (424) 314-7630
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
75 Francis St
Boston, MA 02115
Interoperability endpoints
- jkoh453297@direct.cshs.org
Organizations & group practices 8
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Orthopaedic Surgery
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Orthopaedic Surgery
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Family Medicine Physician
- Boston, MA
- NPI 1134166390
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1164460580
-
dba dba Dept of Faulkner Radiology
- Diagnostic Radiology Physician
- Jamaica Plain, MA
- NPI 1578549507
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1083077077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 ALBANY ST",
"address_2": "SHAPIRO, SUITE 4B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182526",
"telephone_number": "617-638-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18370 BURBANK BLVD STE 100",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562818",
"telephone_number": "424-314-7630"
}
],
"practiceLocations": [
{
"address_1": "725 Albany St",
"address_2": "Shapiro, Suite 4B",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182526",
"country_code": "US",
"telephone_number": "617-638-8934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142621",
"country_code": "US",
"telephone_number": "617-726-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOH",
"first_name": "JUSTIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-29",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "268697",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CA",
"license": "A185882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.