Active NPI
Clifford Robert Kahn, M.D.
- Orthopaedic Surgery Physician
- Encino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G34659
- Practice address
- 17525 Ventura Blvd
Suite 203
Encino, CA 91316-5109 - Phone
- (818) 986-3366
- Fax
- (818) 986-3866
- NPI assigned
- Nov 7, 2005
- Last updated
- Jun 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 6268120001 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | G34659 | CA | Primary |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | G34659 | CA |
Addresses
Primary practice location
17525 Ventura Blvd
Suite 203
Encino, CA 91316-5109
Mailing address
17525 Ventura Blvd
Suite 203
Encino, CA 91316-5109
Phone (818) 986-3366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G346590 | Medicaid | CA |
Other names 1
- Clifford Kahn
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 |
|---|---|---|---|---|
| I20081204000812 | CA | Practitioner - Orthopedic Surgery | 2567406648 | Practice locations: Tarzana, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Baylor College of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5411 Etiwanda Ave
Suite 100
Tarzana, CA 91356-6159
Phone (818) 757-8839
Hospital & facility affiliations
- Number 1 Home Health Care, Inc
- Solid Care Home Health, Inc
- Providence Cedars Sinai Tarzana Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1163 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G34659 | CA | MD | Orthopaedic Foot and Ankle Surgery Physician |
| 6268120001 | CA | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedic and Spine Procedures LLC | Past | Accepting new patients | |
| Clifford Kahn MD | Foot and Ankle Surgery | Past | Accepting new patients |
| Payam Vahedifar MD Inc | Past | Accepting new patients | |
| Tarzana Medical Center LLC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Encino, CA
- NPI 1457687931
-
- Surgery Physician
- Encino, CA
- NPI 1376281287
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Encino, CA
- NPI 1710176094
-
dba Providence Cedars-Sinai Tarzana Medical Center
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chatsworth, CA
- NPI 1922517895
-
- Home Health Agency
- Woodland Hills, CA
- NPI 1295398303
-
dba Providence Cedars-Sinai Tarzana Medical Center
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1619958626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17525 VENTURA BLVD",
"address_2": "SUITE 203",
"city": "ENCINO",
"state": "CA",
"postal_code": "913165109",
"telephone_number": "818-986-3366",
"fax_number": "818-986-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17525 VENTURA BLVD",
"address_2": "SUITE 203",
"city": "ENCINO",
"state": "CA",
"postal_code": "913165109",
"telephone_number": "818-986-3366",
"fax_number": "818-986-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "CLIFFORD",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "6268120001",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G34659",
"primary": true
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CA",
"license": "G34659",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G346590",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CLIFFORD",
"last_name": "KAHN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.