Active NPI
Andrew Kochan, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Sherman Oaks, CA
National Provider Identifier
1720206881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- G36928
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| G36928 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas L. Hedge, M.D. a Medical Corporation | Past | 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.
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- Northridge, CA
- NPI 1942444302
-
- Spinal Cord Injury Medicine Physician
- Northridge, CA
- NPI 1811137557
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.