Hooman Kashani, DO
Individual provider Active NPI Nephrology Physician · Encino, CA
NPI 1124117452 · NPPES record last updated Mar 7, 2022
Key facts
- NPI
- 1124117452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 20A8543 (CA)
- Practice address
- 16133 Ventura Blvd Ste 415
Encino, CA 91436-2429 - Phone
- (818) 624-5443
- Fax
- (818) 239-4239
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 15
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vip Nephrology Inc
Practice addresses (Care Compare)
18040 Sherman Way
Suite 210
Reseda, CA 91335-4656
Phone (424) 421-6001
Hospital & facility affiliations
- DaVita Valley Dialysis Center
- EVN Dialysis Center
- DaVita Van Nuys Dialysis
- Home Dialysis Centers of Rancho Cucamonga
- USRC North Hollywood
- Pure Home Health
- Valley Presbyterian Hospital
- Sherman Oaks Hospital
- Encino Hospital Medical Center
- Northridge Hospital Medical Center
- Valley Presbyterian Hospital Rehabilitation Center
- Barlow Respiratory Hospital
- Park View Nursing and Subacute
- California Healthcare and Rehabilitation Center
- Topanga Terrace
- Studio City Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Park View Nursing and Subacute |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2022 Jun 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070801000737 | CA | Practitioner - Internal Medicine |
9931290111 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8543 | CA | MD | Internal Medicine Physician |
| 8543 | CA | MD | Hearing Instrument Specialist |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vip Nephrology Inc | Internal Medicine | Current |
Accepting new patients |
| Total Wound Care Inc | Current | Accepting new patients | |
| LRS Physicians Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
16133 Ventura Blvd
Ste 360
Encino, CA 91436
Phone (818) 986-6009
16133 Ventura Blvd
Ste 415
Encino, CA 91436
Phone (818) 506-3384
1125 S Beverly Dr
Ste 720
Los Angeles, CA 90035
Phone (410) 929-9790
18040 Sherman Way
Ste 210
Reseda, CA 91335
Phone (424) 421-6001
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- hooman.kashani@11618991538180.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 20A8543 | CA | Yes |
| Internal Medicine Physician | 207R00000X | 20A8543 | CA |
Addresses
Primary practice location
16133 Ventura Blvd Ste 415
Encino, CA 91436-2429
Mailing address
1125 S Beverly Dr Ste 720
Los Angeles, CA 90035-1180
Phone (424) 421-6001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020A8543 | Medicaid | CA |
Other providers in Encino, CA
- Yvonne Karno
- Stephen William Karp
- Galina Karpman
- Oxana Karpov
- Katie J Karzen
- Samuel Kashani
- Meghana Kashyap
- Noffar Kaspi
- Leo Kassabian
- Norman Scott Kato
All providers in Encino, CA · Nephrology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.