Minas Kochumian, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A54808 Issued in CA

Practice address

18251 Roscoe Blvd
Suite 202
Northridge, CA 91325

Phone

(818) 709-5154

Fax

(818) 709-5190

NPI assigned

Aug 21, 2007

Last updated

Jul 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/299f89be-f85c-4368-87fb-a971e7696d7c/

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.

• Minas Kochumian, MD, a Medical Corporation

  dba California Medical and Rehabilitation Group

  • Non-Pharmacy Dispensing Site
  • Northridge, CA
  • NPI 1285946046
  NPD Authorized official
• Minas Kochumian MD a Medical Corporation

  • Geriatric Medicine (Internal Medicine) Physician
  • Northridge, CA
  • NPI 1407805500
  Authorized official Same address or phone
• Blue Sky Hospice Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
  • NPI 1003180043
  NPD (past)
• In the Arms of Grace Hospice, Inc.

  • Community Based Hospice Care Agency
  • Los Angeles, CA
  • NPI 1871885970
  NPD (past)
• Los Angeles Institute of Foot and Ankle Surgery, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
  • NPI 1144330283
  NPD (past)
• Valley Vascular Associates, Inc

  • Vascular Surgery Physician
  • Van Nuys, CA
  • NPI 1033177902
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1235322538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270206",
            "telephone_number": "213-385-0675",
            "fax_number": "213-365-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18251 ROSCOE BLVD",
            "address_2": "SUITE 202",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-709-5154",
            "fax_number": "818-709-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHUMIAN",
        "first_name": "MINAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54808",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A54808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara D. Klausner, M.S.
• Robert Brahm Klein, MD
• Tali Klima
• Michael Charles Knapp, PH.D.
• Suna Ko, CMT
• Meroujan Kodabakshian, D.D.S.
• Koebel Dental Office a Professional Dental Corporation
• Arthur F Koebel, DDS
• Fariba Kohanghadosh, DDS
• Uthaiah P Kokkalera, M.D.

• Internal Medicine Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.