NPIMap

Individual provider Active NPI

Ara A Kardashian, M.D.

  • Gastroenterology Physician
  • Encino, CA
National Provider Identifier
1265703102
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A123325 Issued in CA
Practice address
15503 Ventura Blvd Ste 170
Encino, CA 91436-3145
Phone
(818) 618-1484
Fax
(818) 461-8105
NPI assigned
Jan 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A123325 CA
Gastroenterology Physician 207RG0100X A123325 CA Primary

Addresses

Primary practice location

15503 Ventura Blvd Ste 170
Encino, CA 91436-3145

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other identifiers 1

IdentifierTypeStateIssuer
113846OtherCASID # 113846

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
I20170705000212 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 4284903436 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355248584, shared by 11 NPIs, 1,426 clinicians

Practice addresses (Care Compare)

19950 Rinaldi St
Suite 300
Porter Ranch, CA 91326-4141
Phone (818) 271-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123325CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Sep 9, 2022 Accepting new patients
County of Los Angeles Current Accepting new patients
The Regents of the University of California CurrentSince Jan 22, 2018 Accepting new patients
County of Los Angeles CurrentSince Jul 1, 2018 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jul 1, 2018 Accepting new patients
The Regents of the University of California Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients
Gastrointestinal Medical Center ASC Gastroenterology PastSince Dec 1, 2024 Accepting new patients

Locations

15503 Ventura Blvd
Ste 240
Encino, CA 91436
Phone (310) 825-7163

15503 Ventura Blvd
Ste 170
Encino, CA 91436
Phone (818) 377-3820

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

4343 Lankershim Blvd
Ste 210
North Hollywood, CA 91602
Phone (818) 843-9038

4343 Lankershim Blvd
#200
North Hollywood, CA 91602
Phone (818) 843-9038

19950 Rinaldi St
Ste 300
Porter Ranch, CA 91326
Phone (818) 271-2400

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

100 Moody Ct
Ste 100
Thousand Oaks, CA 91360
Phone (805) 418-3444

27235 Tourney Rd
Ste 1100
Valencia, CA 91355
Phone (661) 254-8032

7320 Woodlake Ave
Ste 320
West Hills, CA 91307
Phone (818) 436-7686

Interoperability endpoints

  • Direct secure messaging: akardashian549960@direct.uclahealth.org

Organizations & group practices 9

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 4

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1265703102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 VENTURA BLVD STE 170",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363145",
            "telephone_number": "818-618-1484",
            "fax_number": "818-461-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDASHIAN",
        "first_name": "ARA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-24",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A123325",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A123325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SID # 113846",
            "identifier": "113846",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.