Active NPI
Bedros H Kojian MD Inc
- Clinic/Center
- Orange, CA
National Provider Identifier
1487831665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- A33708
- Legal business name
- BEDROS H KOJIAN MD INC
- Practice address
- 1310 W Stewart Dr Ste 308
Orange, CA 92868-3838 - Phone
- (714) 997-4110
- Fax
- (714) 997-4611
- NPI assigned
- Jan 30, 2008
- Last updated
- Jan 30, 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
- Dr. Bedros H Kojian, M.D.
- Title
- President
- Phone
- (714) 997-4110
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A33708 | CA | Primary |
Addresses
Primary practice location
1310 W Stewart Dr Ste 308
Orange, CA 92868-3838
Mailing address
1310 W Stewart Dr Ste 308
Orange, CA 92868-3838
Phone (714) 997-4110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A337080 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1310 W Stewart Dr
Ste 308
Orange, CA 92868
Phone (714) 997-4110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Orange, CA
- NPI 1467498188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201651200000",
"number": "1487831665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W STEWART DR STE 308",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683838",
"telephone_number": "714-997-4110",
"fax_number": "714-997-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W STEWART DR STE 308",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683838",
"telephone_number": "714-997-4110",
"fax_number": "714-997-4611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEDROS H KOJIAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A",
"authorized_official_last_name": "KOJIAN",
"authorized_official_first_name": "BEDROS",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-997-4110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "A33708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A337080",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.