Individual provider Active NPI

Andrew Kochan, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sherman Oaks, CA
National Provider Identifier
1720206881
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
G36928 Issued in CA
Practice address
4835 Van Nuys Blvd
Suite 100
Sherman Oaks, CA 91403-2109
Phone
(818) 995-9331
Fax
(818) 995-9334
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X G36928 CA Primary

Addresses

Primary practice location

4835 Van Nuys Blvd
Suite 100
Sherman Oaks, CA 91403-2109

Mailing address

8744 Paso Robles Ave
Northridge, CA 91325-3222
Phone (818) 995-9331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 10, 2017 through Jul 10, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G36928CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas L. Hedge, M.D. a Medical Corporation PastSince May 8, 2009 Accepting new patients
Joel S. Rosen, MD, Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720206881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8744 PASO ROBLES AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253222",
            "telephone_number": "818-995-9331",
            "fax_number": "818-995-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD",
            "address_2": "SUITE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032109",
            "telephone_number": "818-995-9331",
            "fax_number": "818-995-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHAN",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "G36928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.