Individual provider Active NPI

Amit Kochhar, MD

  • Facial Plastic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1114191194
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A132816 Issued in CA
Practice address
11645 Wilshire Blvd Ste 600
Los Angeles, CA 90025-6807
Phone
(310) 477-5558
Fax
(310) 477-7281
NPI assigned
Apr 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A132816 CA
Facial Plastic Surgery Physician 207YS0123X A136819 CA
Student in an Organized Health Care Education/Training Program 390200000X
Facial Plastic Surgery Physician 207YS0123X A132816 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd Ste 600
Los Angeles, CA 90025-6807

Mailing address

2125 Arizona Ave
Santa Monica, CA 90404-1337
Phone (310) 477-5558

Other practice location 1

2125 Arizona Ave
Santa Monica, CA 90404-1337
Phone (310) 582-7450

Other identifiers 1

IdentifierTypeStateIssuer
A132816OtherCAMEDICAL LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address akochhar1336327@oc.providencedirect.org
Direct Messaging Address akochhar1336327@oc.providencedirect.org

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
I20150626000867 CA Practitioner - Otolaryngology 2668620345 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Miami, LM Miller School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2125 Arizona Ave
Santa Monica, CA 90404-1337
Phone (310) 582-7450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136819CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2016 Accepting new patients
Usc Care Medical Group, Inc Otolaryngology CurrentSince Jul 1, 2016 Accepting new patients
Pih Health Physicians CurrentSince Oct 1, 2016 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Mar 12, 2018 Accepting new patients
Bright Health Physicians of Pih CurrentSince Oct 1, 2016 Accepting new patients
Pih Health Physicians Current Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Aug 20, 2020 Accepting new patients
Saint John'S Health Clinic Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients

Locations

181 S Buena Vista St
Fl 3
Burbank, CA 91505
Phone (818) 748-4930

800 S Central Ave
Ste 204
Glendale, CA 91204
Phone (818) 240-8001

1370 Foothill Blvd
Ste 100
La Canada Flt, CA 91011
Phone (818) 649-3919

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

830 S Flower St
Ste B100
Los Angeles, CA 90017
Phone (213) 486-8630

1520 San Pablo St
Ste 4600
Los Angeles, CA 90033
Phone (323) 442-5827

1450 San Pablo St
Ste 5100
Los Angeles, CA 90033
Phone (323) 409-7316

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1510 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5910

2125 Arizona Ave
Santa Monica, CA 90404
Phone (310) 582-7450

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

5215 Torrance Blvd
Ste 300
Torrance, CA 90503
Phone (310) 303-6126

11645 Wilshire Blvd
Ste 600
West Los Angeles, CA 90025
Phone (310) 477-5558

12462 Putnam St
Ste 500
Whittier, CA 90602
Phone (562) 789-5449

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: akochhar1336327@oc.providencedirect.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1114191194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ARIZONA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041337",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256807",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 Arizona Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041337",
            "country_code": "US",
            "telephone_number": "310-582-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCHHAR",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A132816",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A136819",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A132816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A132816",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akochhar1336327@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "11645 Wilshire Blvd Ste 600",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900256807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akochhar1336327@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2125 Arizona Ave",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904041337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.