Individual provider Active NPI

Edward Kocharian, M.D.

  • Internal Medicine Physician
  • La Jolla, CA
National Provider Identifier
1790727139
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C52852 Issued in CA
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

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C52852OtherCASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081222000464 CA Practitioner - Internal MedicinePractitioner - General Practice 8224925367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edward Kocharian MD ApcGroup PAC ID 6507928793, 2 clinicians

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 Hospital, Newport Beach, CA, CCN 050224
  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324
  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C52852CAMDInternal Medicine Physician
73366GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Kocharian MD Apc Internal Medicine CurrentSince Nov 1, 2008 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 PastSince Aug 1, 2005 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

  • Direct secure messaging: ekocharian380938@scrippshlth.medalliesdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.