Individual provider Active NPI

Jonathan F Kohan, MD

  • Anesthesiology Physician
  • Sherman Oaks, CA
National Provider Identifier
1093727109
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A66353 Issued in CA
Practice address
5651 Sepulveda Blvd
Suite 201
Sherman Oaks, CA 91411-2916
Phone
(818) 788-2400
NPI assigned
Aug 13, 2006
Last updated
Aug 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A66353 CA Primary

Addresses

Primary practice location

5651 Sepulveda Blvd
Suite 201
Sherman Oaks, CA 91411-2916

Mailing address

5651 Sepulveda Blvd
Suite 201
Sherman Oaks, CA 91411-2916
Phone (818) 788-2400

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
I20040422001697 CA Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 5597751636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Colorado School of Medicine, Denver, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5651 Sepulveda Blvd
Suite 201
Sherman Oaks, CA 91411-2954
Phone 8187882400130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66353CAMDAnesthesiology Physician
66353CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan F. Kohan, MD, Inc CurrentSince Aug 21, 1998 Accepting new patients
Jonathan Kohan, MD Inc Anesthesiology Current Accepting new patients
Edwin Haronian, M D. Inc. Past Accepting new patients
Pomona Orthopedic & Multispecialty Medical Associates, Inc Past Accepting new patients

Locations

16501 Ventura Blvd
Encino, CA 91436
Phone (818) 356-8106

724 Corporate Center Dr
Pomona, CA 91768
Phone (909) 622-6222

5651 Sepulveda Blvd
Ste 201
Van Nuys, CA 91411
Phone (818) 788-2400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1093727109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD",
            "address_2": "SUITE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112916",
            "telephone_number": "818-788-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD",
            "address_2": "SUITE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112916",
            "telephone_number": "818-788-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHAN",
        "first_name": "JONATHAN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A66353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.