Individual provider Active NPI

Yashar Ilkhchoui, M.D.

  • Anesthesiology Physician
  • Santa Monica, CA
National Provider Identifier
1669799110
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A135166 Issued in CA
Practice address
1328 22ND St
Santa Monica, CA 90404-2032
Phone
(310) 829-5511
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD2013-0062 NM
Anesthesiology Physician 207L00000X A135166 CA Primary

Addresses

Primary practice location

1328 22ND St
Santa Monica, CA 90404-2032

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1000

Other practice location 1

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

Other practice location 2

38600 Medical Center Dr
Palmdale, CA 93551-4483
Phone (661) 382-5000

Other identifiers 1

IdentifierTypeStateIssuer
1669799110MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151204001327 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 5395976773 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 200-1705

4911 Van Nuys Blvd
Suite 100
Sherman Oaks, CA 91403-1746
Phone (818) 839-7077

Hospital & facility affiliations

  • Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A135166CAMDAnesthesiology Physician

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Tarzana Anesthesia Medical Group, Inc. Anesthesiology CurrentSince Oct 3, 2020 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Relevo Health PC Anesthesiology CurrentSince Oct 9, 2023 Accepting new patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Sep 7, 2021 Accepting new patients
Relevo Health PC Anesthesiology CurrentSince Oct 9, 2023 Accepting new patients
Landmark Anesthesia Medical Group Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Sherman Oaks Pain and Spine Institute Inc CurrentSince Sep 7, 2016 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Bayside Anesthesia Medical Group CurrentSince Oct 1, 2018 Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2271 W Malvern Ave
Fullerton, CA 92833
Phone (562) 773-4243

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

4911 Van Nuys Blvd
Ste 307
Van Nuys, CA 91403
Phone (818) 205-1995

4911 Van Nuys Blvd
Ste 100
Van Nuys, CA 91403
Phone (818) 341-7243

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yilkhchoui738064@direct.memorialcare.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1669799110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1000",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 22ND ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042032",
            "telephone_number": "310-829-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171901",
            "country_code": "US",
            "telephone_number": "213-977-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38600 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935514483",
            "country_code": "US",
            "telephone_number": "661-382-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILKHCHOUI",
        "first_name": "YASHAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "MD2013-0062",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A135166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669799110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.