NPIMap

Organization Active NPI

Robert P Kahn-Rose, Inc.

  • Specialist
  • Agoura Hills, CA
National Provider Identifier
1407936784
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G59791 Issued in CA
Legal business name
ROBERT P KAHN-ROSE, INC.
Practice address
30423 Canwood St Ste 123
Agoura Hills, CA 91301-4314
Phone
(818) 385-1219
Fax
(818) 385-1600
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Robert Kahn-RoseNPI 1912915901
Title
Owner
Phone
(818) 385-1219

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G59791 CA Primary

Addresses

Primary practice location

30423 Canwood St Ste 123
Agoura Hills, CA 91301-4314

Mailing address

30423 Canwood St Ste 123
Agoura Hills, CA 91301-4314
Phone (818) 385-1219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110310000874 CA Part B Supplier - Clinic/Group Practice 6305843939 Receives reassigned benefits from 12 practitioners
Practice locations: Agoura Hills, CA
O20251006001141 NV Part B Supplier - Clinic/Group Practice 6305843939 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

30423 Canwood St
Ste 123
Agoura Hills, CA 91301
Phone (818) 385-1219

16311 Ventura Blvd
Ste 1205
Encino, CA 91436
Phone (818) 385-1219

22900 Ventura Blvd
Ste A
Woodland Hls, CA 91364
Phone (818) 385-1219

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1407936784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD ST STE 123",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014314",
            "telephone_number": "818-385-1219",
            "fax_number": "818-385-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD ST STE 123",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014314",
            "telephone_number": "818-385-1219",
            "fax_number": "818-385-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P KAHN-ROSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "KAHN-ROSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-385-1219"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G59791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.