Andrew Kassinove, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A73936 Issued in CA

Practice address

2131 W 3Rd St
Los Angeles, CA 90057-1901

Phone

(213) 484-7301

NPI assigned

Jun 22, 2006

Last updated

Oct 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lompoc Hospitalist Group PC

  • Hospitalist Physician
  • Lompoc, CA
  • NPI 1891335717
  Medicare reassignment NPD
• Santa Ynez River Physicians, PC

  • Emergency Medicine Physician
  • Lompoc, CA
  • NPI 1396210597
  Medicare reassignment NPD
• Sunshine Physician Services, PC

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1649725466
  Medicare reassignment NPD
• Santa Ana Physicians Group, PC

  • Emergency Medicine Physician
  • Indio, CA
  • NPI 1831592187
  Medicare reassignment
• Andrew Kassinove, MD; Inc.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1023059524
  NPD (past) Authorized official
• Pacifica Emergency Medical Associates

  • Emergency Medicine Physician
  • Encino, CA
  • NPI 1053350975
  NPD (past)
• Tarzana Emergency Medical Associates

  • Emergency Medicine Physician
  • Tarzana, CA
  • NPI 1235176702
  NPD (past)
• Valley Emergency Medical Associates

  • Emergency Medicine Physician
  • Panorama City, CA
  • NPI 1801837299
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1194761486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30925 GANADO DR",
            "address_2": "RANCHO PALOS",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756243",
            "telephone_number": "310-951-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571901",
            "telephone_number": "213-484-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSINOVE",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A73936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A739360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nushka Kassem, N.D, L.AC
• Tarek Mohsen Kassem, DDS
• Katherine Kasserman, LCSW
• Kimberly Avery Kassi
• Krista Kassin, BCBA
• Ola Kassis, MD
• Christine Kassissa-Mourad, D.O
• Amy Kassowitz Ellman, LCSW
• Eric Daniel Kastan, LMFT
• Kaila Kastan

• Emergency Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.