Individual provider Active NPI

H James Kojian II, MD

  • Emergency Medicine Physician
  • Glendale, CA
National Provider Identifier
1720032360
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G71941 Issued in CA
Practice address
1648 W Glenoaks Blvd Ste 101
Glendale, CA 91201-1827
Phone
(818) 805-0005
Fax
(818) 805-0050
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G71941 CA
Emergency Medicine Physician 207P00000X G71941 CA Primary

Addresses

Primary practice location

1648 W Glenoaks Blvd Ste 101
Glendale, CA 91201-1827

Mailing address

1648 W Glenoaks Blvd Ste 101
Glendale, CA 91201-1827
Phone (818) 805-0005

Other identifiers 1

IdentifierTypeStateIssuer
00G719410MedicaidCA

Other names 1

  • Dr. Hampartsum Kojoglanian Former name

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
I20081121000100 CA Practitioner - General PracticePractitioner - Emergency Medicine 2567457625 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound AwayGroup PAC ID 7012455306, 2 clinicians

Practice addresses (Care Compare)

La Mirada, CA 90638
Phone (714) 457-9905

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G71941CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Prof.Imaging Grpoup, Inc Past Accepting new patients
Northridge Emergency Medical Group Emergency Medicine Past Accepting new patients
Montclair Emergency Medical Associates Emergency Medicine PastSince Mar 29, 2020 Accepting new patients
Pasadena Hospital Association, LTD. PastSince Feb 16, 2019 Accepting new patients

Locations

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

Organizations & group practices 8

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1720032360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 W GLENOAKS BLVD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011827",
            "telephone_number": "818-805-0005",
            "fax_number": "818-805-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 W GLENOAKS BLVD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011827",
            "telephone_number": "818-805-0005",
            "fax_number": "818-805-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOJIAN",
        "first_name": "H",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G71941",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G71941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G719410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAMPARTSUM",
            "last_name": "KOJOGLANIAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.