Active NPI
Edward Kocharian, M.D.
- Internal Medicine Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C52852
- Practice address
- 9850 Genesee Ave Ste 740
La Jolla, CA 92037-1218 - Phone
- (858) 457-5555
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 73366 | GA | |
| Internal Medicine Physician | 207R00000X | 35073847 | OH | |
| Internal Medicine Physician | 207R00000X | C52852 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave Ste 740
La Jolla, CA 92037-1218
Mailing address
9850 Genesee Ave Ste 740
La Jolla, CA 92037-1218
Phone (858) 457-5555
Other practice location 1
514 Oberlin Dr
#230
San Diego, CA 92121
Phone (858) 455-9955
Other practice location 2
275 Victoria St Ste K
Costa Mesa, CA 92627-1906
Phone (949) 646-1631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C52852 | Other | CA | STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9850 Genesee Ave
Suite 740
La Jolla, CA 92037-1218
Phone (858) 457-5555
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
- Scripps Memorial Hospital la Jolla
- Scripps Memorial Hospital - Encinitas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52852 | CA | MD | Internal Medicine Physician |
| 73366 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Kocharian MD Apc | Internal Medicine | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Cleveland Clinic Health System - East Region | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| South Pointe Hospital | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Edward Kocharian,MD.LLC | Internal Medicine | Past | Accepting new patients |
| University Primary Care Practices Inc | Past | Accepting new patients |
Locations
275 Victoria St
Ste 2K
Costa Mesa, CA 92627
Phone (714) 631-1209
275 Victoria St
Ste K
Costa Mesa, CA 92627
Phone (949) 646-1631
435 Arden Ave
Ste 450
Glendale, CA 91203
Phone (818) 241-4129
9850 Genesee Ave
Ste 740
La Jolla, CA 92037
Phone (858) 453-3842
5414 Oberlin Dr
Ste 230
San Diego, CA 92121
Phone (858) 281-1588
6480 Weathers Pl
Ste 106
San Diego, CA 92121
Phone (619) 746-6530
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ekocharian380938@scrippshlth.medalliesdirect.net
- edward.kocharian.1@17887.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- La Jolla, CA
- NPI 1144470220
-
- Internal Medicine Physician
- Beachwood, OH
- NPI 1598775942
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- Audiologist
- Warrensville Heights, OH
- NPI 1760505093
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1790727139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE STE 740",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371218",
"telephone_number": "858-457-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE STE 740",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371218",
"telephone_number": "858-457-5555"
}
],
"practiceLocations": [
{
"address_1": "514 Oberlin Dr",
"address_2": "#230",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92121",
"country_code": "US",
"telephone_number": "858-455-9955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Victoria St Ste K",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926271906",
"country_code": "US",
"telephone_number": "949-646-1631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCHARIAN",
"first_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2023-01-11",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "73366",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35073847",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C52852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "C52852",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.