Individual provider Active NPI

Paul Jacob Kokorowski, M.D.

  • Urology Physician
  • Los Angeles, CA
National Provider Identifier
1700056140
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A88654 Issued in CA
Practice address
8635 W 3Rd St Ste 1070W
Los Angeles, CA 90048-6137
Phone
(310) 423-4700
Fax
(310) 423-1886
NPI assigned
Feb 29, 2008
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A88654 CA Primary
Pediatric Urology Physician 2088P0231X A88654 CA
Pediatric Urology Physician 2088P0231X 239867 MA

Addresses

Primary practice location

8635 W 3Rd St Ste 1070W
Los Angeles, CA 90048-6137

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

8635 W 3rd St Ste 420E
Los Angeles, CA 90048-6101
Phone (310) 423-4700

Other practice location 2

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 325-9110

Other practice location 3

23550 Hawthorne Blvd Ste 120
Torrance, CA 90505-4767
Phone (310) 517-1142

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
I20120906000372 CA Practitioner - UrologyPractitioner - Other (Physician) 9133376619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 517-4765

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5000

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
77.83
Promoting interoperability
98
Improvement activities
40
Cost
71.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239867MAMDRegistered Nurse
A88654CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2022 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2022 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Chla Teaching Clinics LLC PastSince Apr 1, 2021 Accepting new patients

Locations

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

8635 W 3rd St
Ste 1070W
Los Angeles, CA 90048
Phone (310) 423-4700

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

23550 Hawthorne Blvd
Ste 120
Torrance, CA 90505
Phone (310) 517-1216

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pkokorowski354085@direct.cshs.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1700056140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 1070W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486137",
            "telephone_number": "310-423-4700",
            "fax_number": "310-423-1886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8635 W 3rd St Ste 420E",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900486101",
            "country_code": "US",
            "telephone_number": "310-423-4700",
            "fax_number": "310-423-4711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Lomita Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905055002",
            "country_code": "US",
            "telephone_number": "310-325-9110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23550 Hawthorne Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054767",
            "country_code": "US",
            "telephone_number": "310-517-1142",
            "fax_number": "310-341-4116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOKOROWSKI",
        "first_name": "PAUL",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A88654",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CA",
            "license": "A88654",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "MA",
            "license": "239867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.