Individual provider Active NPI

Kourosh Noormand, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Los Angeles, CA
National Provider Identifier
1750357182
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A50982 Issued in CA
Practice address
1016 S Robertson Blvd
Los Angeles, CA 90035-1505
Phone
(818) 497-3797
Fax
(310) 888-7719
NPI assigned
Feb 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A50982 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A50982 CA Primary

Addresses

Primary practice location

1016 S Robertson Blvd
Los Angeles, CA 90035-1505

Mailing address

PO Box 16713
Beverly Hills, CA 90209-2713
Phone (818) 497-3797

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
I20051121000590 CA Practitioner - AnesthesiologyPractitioner - Pain Management 7315966298 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50982CAMDGeneral Practice Dentistry
A50982CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current 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": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1750357182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16713",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092713",
            "telephone_number": "818-497-3797",
            "fax_number": "310-888-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351505",
            "telephone_number": "818-497-3797",
            "fax_number": "310-888-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORMAND",
        "first_name": "KOUROSH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-25",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A50982",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A50982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.