Active NPI
Paul B Kouyoumjian, MD
- Ophthalmology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A116329
- Practice address
- 500 N Central Ave Ste 400
Glendale, CA 91203-1928 - Phone
- (818) 956-1010
- Fax
- (818) 543-6083
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A116329 | CA | Primary |
Addresses
Primary practice location
500 N Central Ave Ste 400
Glendale, CA 91203-1928
Mailing address
18546 Roscoe Blvd Ste 200
Northridge, CA 91324-5453
Phone (818) 993-1112
Other practice location 1
18546 Roscoe Blvd Ste 200
Northridge, CA 91324-5453
Phone (818) 993-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
18040 Sherman Way
Suite 205
Reseda, CA 91335-4656
Phone (818) 993-1112
500 N Central Ave
Suite 400
Glendale, CA 91203-1928
Phone (818) 208-6056
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 188 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116329 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James McCaffery MD a Professional Corp | Ophthalmology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Ophthalmology | Current | Accepting new patients |
| Paul B Kouyoumjian, MD Inc. | Ophthalmology | Current | Accepting new patients |
| Usc University Hospital, Inc. | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
500 N Central Ave
Ste 100
Glendale, CA 91203
Phone (818) 538-5152
500 N Central Ave
Ste 400
Glendale, CA 91203
Phone 8184765107201
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1450 San Pablo St
Ste 4400
Los Angeles, CA 90033
18040 Sherman Way
Ste 205
Reseda, CA 91335
Phone (818) 993-1112
14124 Foothill Blvd
Sylmar, CA 91342
Phone (818) 364-8181
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Reseda, CA
- NPI 1831790922
-
- Ophthalmology Physician
- Glendale, CA
- NPI 1710962865
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1790718500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1467654061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18546 ROSCOE BLVD STE 200",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913245453",
"telephone_number": "818-993-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N CENTRAL AVE STE 400",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031928",
"telephone_number": "818-956-1010",
"fax_number": "818-543-6083"
}
],
"practiceLocations": [
{
"address_1": "18546 Roscoe Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913245453",
"country_code": "US",
"telephone_number": "818-993-1112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOUYOUMJIAN",
"first_name": "PAUL",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A116329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.