Active NPI
Luis I Kobashi, M.D.
- Urology Physician
- Orange, CA
National Provider Identifier
1710963095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A21727
- Practice address
- 1310 W Stewart Dr
Suite 402
Orange, CA 92868-3854 - Phone
- (714) 547-5741
- Fax
- (714) 547-5078
- NPI assigned
- Dec 19, 2005
- Last updated
- Jul 7, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A21727 | CA | Primary |
Addresses
Primary practice location
1310 W Stewart Dr
Suite 402
Orange, CA 92868-3854
Mailing address
1310 W Stewart Dr
Suite 402
Orange, CA 92868-3854
Phone (714) 547-5741
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A212720 | Other | CA | BLUE SHIELD |
| 00A217270 | Medicaid | CA | |
| A21727 | Other | CA | BLUE CROSS |
| 340018013 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21727 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew L Greenberger MD Professional Corporation | Urology | Past | Accepting new patients |
| Shawn Beck, M.D., Inc | Urology | Past | Accepting new patients |
| Brian Norouzi, MD, Medical Corporation | Urology | Past | Accepting new patients |
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.
-
- Urology Physician
- Orange, CA
- NPI 1295942696
-
- Urology Physician
- Orange, CA
- NPI 1619008968
-
- Urology Physician
- Santa Ana, CA
- NPI 1932306032
-
- Urology Physician
- Santa Ana, CA
- NPI 1144776683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1710963095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W STEWART DR",
"address_2": "SUITE 402",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683854",
"telephone_number": "714-547-5741",
"fax_number": "714-547-5078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W STEWART DR",
"address_2": "SUITE 402",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683854",
"telephone_number": "714-547-5741",
"fax_number": "714-547-5078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBASHI",
"first_name": "LUIS",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A21727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A212720",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A217270",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "A21727",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340018013",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.