NPIMap

Individual provider Active NPI

Leon Kujmanian, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Glendale, CA
National Provider Identifier
1194827782
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A64159 Issued in CA
Practice address
1146 N. Central Avenue, #522
Glendale, CA 91202
Phone
(818) 500-0910
Fax
(818) 500-0914
NPI assigned
Sep 2, 2006
Last updated
Jan 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A64159 CA Primary

Addresses

Primary practice location

1146 N. Central Avenue, #522
Glendale, CA 91202

Mailing address

PO Box 432
Glendale, CA 91209-0432
Phone (818) 500-0910

Other identifiers 1

IdentifierTypeStateIssuer
00A641590MedicaidCA

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
I20040709000454 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 7214915032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2750 Sycamore Dr
Simi Valley, CA 93065-1500

544 N Glendale Ave
Glendale, CA 91206-3311
Phone (818) 265-2242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G64159CAMDFamily Medicine Physician
A64159CAMDEndocrinology, Diabetes & Metabolism Physician
000706NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 1, 2014 Accepting new patients
Adventist Health Physians Network CurrentSince Aug 1, 2014 Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Leon Kujmanian, M.D. Endocrinology, Diabetes & Metabolism PastSince Jun 10, 2004 Accepting new patients

Locations

544 N Glendale Ave
Ste C
Glendale, CA 91206

801 S Chevy Chase Dr
Ste 102
Glendale, CA 91205
Phone (818) 242-8916

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1194827782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912090432",
            "telephone_number": "818-500-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 N. CENTRAL AVENUE, #522",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91202",
            "telephone_number": "818-500-0910",
            "fax_number": "818-500-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUJMANIAN",
        "first_name": "LEON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A64159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A641590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.