Individual provider Active NPI

Samuel Kojoglanian, M.D.

  • Cardiovascular Disease Physician
  • Valencia, CA
National Provider Identifier
1700879384
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A60872 Issued in CA
Practice address
23929 McBean Pkwy
Suite 216
Valencia, CA 91355-4466
Phone
(661) 259-1534
Fax
(661) 284-3670
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A60872 CA Primary

Addresses

Primary practice location

23929 McBean Pkwy
Suite 216
Valencia, CA 91355-4466

Mailing address

15243 Vanowen St
Suite 301
Van Nuys, CA 91405-3605
Phone (818) 782-5041

Other identifiers 1

IdentifierTypeStateIssuer
00A608720MedicaidCA

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
I20050208001114 CA Practitioner - Cardiovascular Disease (Cardiology) 4688625494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24868 Apple St
Santa Clarita, CA 91321-5037
Phone (661) 259-1711

24868 Apple St
Suite 103
Santa Clarita, CA 91321-5040

Hospital & facility affiliations

  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Merit-based Incentive Payment System (MIPS)

Final score
90.9 of 100Reported as individual
Quality
81.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel a Kojoglanian MD Facc a Medical Corporation CurrentSince Aug 1, 2008 Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Locations

24868 Apple St
Ste 103
Santa Clarita, CA 91321

24868 Apple St
Ste 103104
Santa Clarita, CA 91321
Phone (661) 259-1711

Organizations & group practices 2

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 1

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1700879384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST",
            "address_2": "SUITE 301",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053605",
            "telephone_number": "818-782-5041",
            "fax_number": "818-782-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23929 MCBEAN PKWY",
            "address_2": "SUITE 216",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554466",
            "telephone_number": "661-259-1534",
            "fax_number": "661-284-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOJOGLANIAN",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A60872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A608720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.