Individual provider Active NPI

Karen Chinonso Kagha Abisogun, MD

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1124474515
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
283125 Issued in MA
Practice address
9201 W Sunset Blvd Ste 602
Los Angeles, CA 90069-3707
Phone
(310) 246-0495
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc Dermatology CurrentSince Jan 17, 2023 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

3828 Schaufele Ave
Ste 300
Long Beach, CA 90808
Phone (562) 997-1144

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

9201 W Sunset Blvd
Ste 602
West Hollywood, CA 90069
Phone (310) 246-0495

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 283125 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

9201 W Sunset Blvd Ste 602
Los Angeles, CA 90069-3707

Mailing address

50 Staniford St Ste 200
Boston, MA 02114-2543
Phone (617) 726-2914

Other practice location 1

3828 Schaufele Ave Ste 300
Long Beach, CA 90808-1793
Phone (562) 384-4241

Other practice location 2

50 Staniford St Ste 200
Boston, MA 02114-2543
Phone (617) 726-2914

Other practice location 3

809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1595

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2025.

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1124474515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST STE 200",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142543",
            "telephone_number": "617-726-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 602",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693707",
            "telephone_number": "310-246-0495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3828 Schaufele Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081793",
            "country_code": "US",
            "telephone_number": "562-384-4241",
            "fax_number": "562-989-3612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Staniford St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142543",
            "country_code": "US",
            "telephone_number": "617-726-2914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 82nd Pkwy",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724607",
            "country_code": "US",
            "telephone_number": "843-692-1595",
            "fax_number": "843-692-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABISOGUN",
        "first_name": "KAREN",
        "middle_name": "CHINONSO KAGHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "283125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.