Organization Active NPI

Minas Kochumian MD a Medical Corporation

  • Geriatric Medicine (Internal Medicine) Physician
  • Northridge, CA
National Provider Identifier
1407805500
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A54808 Issued in CA
Legal business name
MINAS KOCHUMIAN MD A MEDICAL CORPORATION
Practice address
18251 Roscoe Blvd
Suite 202
Northridge, CA 91325
Phone
(818) 709-5154
Fax
(818) 709-5190
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X A54808 CA Primary

Addresses

Primary practice location

18251 Roscoe Blvd
Suite 202
Northridge, CA 91325

Mailing address

PO Box 27206
Los Angeles, CA 90027-0206
Phone (213) 385-0675

National Provider Directory

National Provider Directory

Locations

18546 Roscoe Blvd
#202
Northridge, CA 91324
Phone (818) 709-5154

18251 Roscoe Blvd
Ste 202
Northridge, CA 91325
Phone (818) 709-5154

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1407805500",
    "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": {
        "organization_name": "MINAS KOCHUMIAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-01-23",
        "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": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A54808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 23, 2019; 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.