Organization Active NPI

Edward Kocharian MD Apc

  • Internal Medicine Physician
  • La Jolla, CA
National Provider Identifier
1144470220
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C52852 Issued in CA
Legal business name
EDWARD KOCHARIAN MD APC
Practice address
9850 Genesee Ave Ste 740
La Jolla, CA 92037-1218
Phone
(858) 457-5555
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Authorized official

Name
Seda Badalyan, MDNPI 1558396077
Title
Provider
Phone
(818) 923-3806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C52852 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 740
La Jolla, CA 92037-1218

Mailing address

9850 Genesee Ave Ste 740
La Jolla, CA 92037-1218
Phone (858) 457-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000095 CA Part B Supplier - Clinic/Group Practice 6507928793 Receives reassigned benefits from 2 practitioners
Practice locations: Costa Mesa, CA; La Jolla, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

275 Victoria St
Ste K
Costa Mesa, CA 92627
Phone (949) 646-1631

6480 Weathers Pl
Ste 106
San Diego, CA 92121
Phone (619) 746-6530

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748044800000",
    "number": "1144470220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 740",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371218",
            "telephone_number": "858-457-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 740",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371218",
            "telephone_number": "858-457-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD KOCHARIAN MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "BADALYAN",
        "authorized_official_first_name": "SEDA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "818-923-3806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.