NPIMap

Individual provider Active NPI

Raffi A Kotoyan, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Northridge, CA
National Provider Identifier
1154680981
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A163268 Issued in CA
Practice address
18350 Roscoe Blvd Ste 201
Northridge, CA 91325-4148
Phone
(818) 993-4471
NPI assigned
May 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301112455 MI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A163268 CA Primary

Addresses

Primary practice location

18350 Roscoe Blvd Ste 201
Northridge, CA 91325-4148

Mailing address

18350 Roscoe Blvd Ste 201
Northridge, CA 91325-4148
Phone (818) 993-4471

Other practice location 1

1700 N Rose Ave Ste 135
Oxnard, CA 93030-7301
Phone (818) 993-4471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905002235 CA Practitioner - Thoracic Surgery 5092934125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Louisville School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18350 Roscoe Blvd
Suite 201
Northridge, CA 91325-4148
Phone (818) 993-4471

Hospital & facility affiliations

  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)40
Pacemaker insertion or repair16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163268CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301112455MIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soltero & Yasuda Associates Cardiothoracic & Vascular Surgery Medical Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 16, 2019 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
West Hills Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

18350 Roscoe Blvd
Ste 201
Northridge, CA 91325
Phone (818) 993-0302

1700 N Rose Ave
Ste 135
Oxnard, CA 93030
Phone (805) 981-1788

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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 5

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": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1154680981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 201",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254148",
            "telephone_number": "818-993-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 201",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254148",
            "telephone_number": "818-993-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 N Rose Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930307301",
            "country_code": "US",
            "telephone_number": "818-993-4471",
            "fax_number": "818-993-7565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTOYAN",
        "first_name": "RAFFI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301112455",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A163268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.