Organization Active NPI

Minas Kochumian, MD, a Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Northridge, CA
National Provider Identifier
1285946046
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
MINAS KOCHUMIAN, MD, A MEDICAL CORPORATION
Practice address
18546 Roscoe Blvd
312
Northridge, CA 91324-4663
Phone
(818) 709-5154
NPI assigned
Jul 9, 2010
Organization subpart
Yes
Parent organization
MINAS KOCHUMIAN, MD, A MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Dr. Minas Kochumian, MDNPI 1235322538
Title
Ceo
Phone
(818) 709-5154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

18546 Roscoe Blvd
312
Northridge, CA 91324-4663

Mailing address

2980 N Beverly Glen Cir
301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • California Medical and Rehabilitation Group Doing business as

National Provider Directory

National Provider Directory
Part of
Minas Kochumian MD AMC

Locations

18546 Roscoe Blvd
Ste 312
Northridge, CA 91324
Phone (818) 709-5154

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1285946046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD",
            "address_2": "312",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244663",
            "telephone_number": "818-709-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINAS KOCHUMIAN, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINAS KOCHUMIAN, MD, A MEDICAL CORPORATION",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "KOCHUMIAN",
        "authorized_official_first_name": "MINAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-709-5154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Medical and Rehabilitation Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.