Gurmander S Kohli, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

C51411 Issued in CA

Practice address

11370 Anderson St
Suite 2100
Loma Linda, CA 92354-3450

Phone

(909) 558-2822

NPI assigned

Jun 29, 2006

Last updated

Jul 14, 2008By 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

Specialty

General PracticeAlso: Plastic and Reconstructive Surgery

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vega Medical Group IncGroup PAC ID 5294253084, 2 clinicians

Arrt Medical Group IncGroup PAC ID 8325561764, 4 clinicians

Prime Valley Medical Center IncGroup PAC ID 3971016494, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Healthy People Home Care, Inc. Home health agency, Granada Hills, CA, CCN 559776

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 31)

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.

• Arrt Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Van Nuys, CA
  • NPI 1619772092
  Medicare reassignment Care Compare group NPD
• Prime Valley Medical Center Inc

  • Health Service Clinic/Center
  • Granada Hills, CA
  • NPI 1427862572
  Medicare reassignment Care Compare group NPD
• Vega Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Glendale, CA
  • NPI 1609675404
  Medicare reassignment Care Compare group NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment NPD
• Baromedical Physician Associates Medical Group

  dba Orange County Wound and Hyperbaric

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Santa Ana, CA
  • NPI 1164569463
  Medicare reassignment NPD
• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment NPD
• Sun Medical Group, Inc

  dba AFC Ladera RAnch

  • Urgent Care Clinic/Center
  • Ladera Ranch, CA
  • NPI 1114588704
  Medicare reassignment NPD
• Wellness Hydration Center a Medical Corporation

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1811605173
  Medicare reassignment NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Ontario, CA
  • NPI 1811464084
  NPD
• Sun Medical Group, Inc.

  dba AFC Urgent Care Anaheim

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1114673902
  NPD
• Tristan Medical Enterprises PC

  • Family Medicine Physician
  • North Attleboro, MA
  • NPI 1538398326
  NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • La Palma, CA
  • NPI 1932534609
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Healthy People Home Care Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1205447976
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1225066962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54701 FILE NUMBER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744701",
            "telephone_number": "909-558-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST",
            "address_2": "SUITE 2100",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "GURMANDER",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "C51411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C514110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Matthew Koch, MD
• Kellilynn Lee Kochever, DNP
• Youssef Kodsy, MD
• Christine Wei-Ping Koh-Pham, DO
• Youngseong Koh
• Nelly Kokikian
• Saahithi Priya Kolli
• Samyuta Komaravolu, MD
• Soujanya Kondameedi
• Ling Fung Kong

• Plastic and Reconstructive Surgery Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.