Individual provider Active NPI

Melissa E Kahn, M.D.

  • Anatomic Pathology Physician
  • West Hollywood, CA
National Provider Identifier
1225250012
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
A91058 Issued in CA
Practice address
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone
(818) 338-8103
Fax
(818) 338-8119
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X A91058 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Mailing address

31255 Cedar Valley Dr
Ste 324
Westlake Village, CA 91362-4014
Phone (818) 338-8103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071013000116 CA Practitioner - Pathology 7618063199 Reassigns benefits to 2 organizations
I20170920002188 OR Practitioner - Pathology 7618063199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Pathology Laboratory LLCGroup PAC ID 4587827985, 12 clinicians

Practice addresses (Care Compare)

1032 E Jackson St
Medford, OR 97504-7027
Phone (541) 770-4559

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91058CAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Pathology Laboratory, LLC CurrentSince Sep 1, 2017 Accepting new patients
Vista Pathology Laboratory, LLC CurrentSince Sep 1, 2017 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Consultants for Path & Lab Med Inc, a Medical Group Past Accepting new patients
CPLM Pathology Outreach Services Anatomic Pathology Past Accepting new patients

Locations

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

1032 E Jackson St
Medford, OR 97504
Phone (541) 770-4559

Organizations & group practices 6

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 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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225250012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31255 CEDAR VALLEY DR",
            "address_2": "STE 324",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624014",
            "telephone_number": "818-338-8103",
            "fax_number": "818-338-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "818-338-8103",
            "fax_number": "818-338-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "MELISSA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A91058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.