Active NPI
Stepan Kasimian MD Inc
- Orthopaedic Surgery of the Spine Physician
- Culver City, CA
National Provider Identifier
1336310887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- A77961
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11643631 | Other | CA | CAQH |
| 1720003619 | Other | CA | IND TYPE 1 NPI |
Other names 1
- Stepan O Kasimain MD
National Provider Directory
National Provider Directory- Tax ID family
- Stepan Kasimian MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Beverly Hills, CA
- NPI 1477725190
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.
-
- Orthopaedic Surgery of the Spine Physician
- Glendale, CA
- NPI 1720003619
-
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
- NPI 1023103678
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1841225042
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.