Active NPI
Paul Kaloostian, MD
- Neurological Surgery Physician
- Pasadena, CA
National Provider Identifier
1497894430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A97161
- Practice address
- 960 E Green St Ste 320
Pasadena, CA 91106-2401 - Phone
- (323) 633-5419
- NPI assigned
- Feb 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | D73081 | MD | |
| Neurological Surgery Physician | 207T00000X | A97161 | CA | Primary |
Addresses
Primary practice location
960 E Green St Ste 320
Pasadena, CA 91106-2401
Mailing address
2645 N Vermont Ave
Los Angeles, CA 90027-1244
Phone (323) 633-5419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055636000 | Medicaid | MD |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150217001056 | CA | Practitioner - Neurosurgery | 0446414726 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97161 | CA | MD | Neurological Surgery Physician |
| D73081 | MD | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs Corona Inc | Past | Accepting new patients | |
| Johns Hopkins University | Neurological Surgery | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Neurological Surgery Physician
- Bethesda, MD
- NPI 1578569240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1497894430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 N VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900271244",
"telephone_number": "323-633-5419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 E GREEN ST STE 320",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062401",
"telephone_number": "323-633-5419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALOOSTIAN",
"first_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MD",
"license": "D73081",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A97161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055636000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.