Organization Active NPI

Jonathan F. Kohan, MD, Inc

  • Specialist
  • Sherman Oaks, CA
National Provider Identifier
1518028422
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A66353 Issued in CA
Legal business name
JONATHAN F. KOHAN, MD, INC
Practice address
5651 Sepulveda Blvd
Suite 201
Sherman Oaks, CA 91411-2916
Phone
(818) 788-2400
Fax
(818) 788-2453
NPI assigned
Dec 13, 2006
Last updated
Oct 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Dr. Jonathan F Kohan, MDNPI 1093727109
Title
MD
Phone
(818) 788-2400

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
Specialist 174400000X A66353 CA Primary

Addresses

Primary practice location

5651 Sepulveda Blvd
Suite 201
Sherman Oaks, CA 91411-2916

Mailing address

5651 Sepulveda Blvd
Suite 201
Sherman Oaks, CA 91411-2916
Phone (818) 788-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151007001798 CA Part B Supplier - Clinic/Group Practice 7113983677 Receives reassigned benefits from 1 practitioner
Practice locations: Pomona, CA; Sherman Oaks, CA

National Provider Directory

National Provider Directory
Tax ID family
Jonathan F Kohan MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5651 Sepulveda Blvd
#F
Sherman Oaks, CA 91411
Phone 8187882400123

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1518028422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD",
            "address_2": "SUITE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112916",
            "telephone_number": "818-788-2400",
            "fax_number": "818-788-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD",
            "address_2": "SUITE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112916",
            "telephone_number": "818-788-2400",
            "fax_number": "818-788-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN F. KOHAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "KOHAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "818-788-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A66353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.