Individual provider Active NPI

Joseph Paul Kochuveli, M.D.

  • Psychiatry Physician
  • Costa Mesa, CA
National Provider Identifier
1700108297
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A109889 Issued in CA
Practice address
2801 Bristol St FL 2
Costa Mesa, CA 92626-5996
Phone
(714) 850-8463
NPI assigned
Feb 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A109889 CA Primary

Addresses

Primary practice location

2801 Bristol St FL 2
Costa Mesa, CA 92626-5996

Mailing address

2801 Bristol St FL 2
Costa Mesa, CA 92626-5996
Phone (714) 850-8463

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
I20121109000452 CA Practitioner - Psychiatry 6709037211 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince Oct 17, 2012 Accepting new patients
County of Orange CurrentSince Oct 17, 2012 Accepting new patients
County of Orange CurrentSince Oct 31, 2021 Accepting new patients

Locations

2801 Bristol St
Fl 2
Costa Mesa, CA 92626
Phone (714) 850-8463

3115 Red Hill Ave
Costa Mesa, CA 92626
Phone (714) 850-8408

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1700108297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BRISTOL ST FL 2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265996",
            "telephone_number": "714-850-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BRISTOL ST FL 2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265996",
            "telephone_number": "714-850-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHUVELI",
        "first_name": "JOSEPH PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A109889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.