Organization Active NPI

Stepan Kasimian MD Inc

  • Orthopaedic Surgery of the Spine Physician
  • Culver City, CA
National Provider Identifier
1336310887
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A77961 Issued in CA
Legal business name
STEPAN KASIMIAN MD INC
Doing business as
Stepan O Kasimain MD
Practice address
3831 Hughes Ave Ste 105
Culver City, CA 90232-6834
Phone
(310) 815-5035
Fax
(310) 558-1302
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Mr. Stepan Kasimain, MD
Title
Owner and Physician
Phone
(818) 720-6811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X A77961 CA Primary

Addresses

Primary practice location

3831 Hughes Ave Ste 105
Culver City, CA 90232-6834

Mailing address

11645 Wilshire Blvd Ste 800
Los Angeles, CA 90025-6811
Phone (310) 996-0363

Other identifiers 2

IdentifierTypeStateIssuer
11643631OtherCACAQH
1720003619OtherCAIND TYPE 1 NPI

Other names 1

  • Stepan O Kasimain MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stepan Kasimian MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11645 Wilshire Blvd
Ste 800
Los Angeles, CA 90025
Phone (310) 443-5273

Practitioners & affiliated clinicians

Practitioners 3

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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1336310887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256811",
            "telephone_number": "310-996-0363",
            "fax_number": "310-996-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 105",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326834",
            "telephone_number": "310-815-5035",
            "fax_number": "310-558-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPAN KASIMIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "KASIMAIN",
        "authorized_official_first_name": "STEPAN",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "818-720-6811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A77961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11643631",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND TYPE 1 NPI",
            "identifier": "1720003619",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stepan O Kasimain MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.