Sanjivan Singh Kohli, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A109968 Issued in CA

Practice address

30230 Rancho Viejo Rd
Suite 200
San Juan Capistrano, CA 92675-1557

Phone

(949) 443-4303

Fax

(949) 443-4033

NPI assigned

Sep 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, WA, OR3 enrollments

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 3

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

UC RegentsGroup PAC ID 7416869516, 316 clinicians

Seasons Medical Group of California IncorporatedGroup PAC ID 9234405952, 12 clinicians

Paloma Medical Group IncGroup PAC ID 5193821908, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of California, Inc Home health agency, Newport Beach, CA, CCN 057573
• Carechoices Home Health Services, LLC Home health agency, Fullerton, CA, CCN 058126
• Accentcare Hospice & Palliative Care of California Hospice, Orange, CA, CCN 051603
• Accentcare Hospice & Palliative Care of Snohomish County Hospice, Lynnwood, WA, CCN 501558
• Agape Hospice NW Hospice, Clackamas, OR, CCN 381577
• Accentcare Hospice & Palliative Care of Pierce County Hospice, Tacoma, WA, CCN 501560
• Agape Hospice & Palliative Care LLC Hospice, Torrance, CA, CCN 751693
• Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
• Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
• Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
• Kindred Hospital Brea Long-term care hospital, Brea, CA, CCN 052039
• Crystal Cove Care Center Nursing home, Newport Beach, CA, CCN 055929
• Orchards Skilled Nursing Nursing home, Rancho Mission Viejo, CA, CCN 555922
• Advanced Rehab Center of Tustin Nursing home, Santa Ana, CA, CCN 055330
• New Orange Hills Nursing home, Orange, CA, CCN 555286
• Garden Park Care Center Nursing home, Garden Grove, CA, CCN 555667

Merit-based Incentive Payment System (MIPS)

Final score

80.2 of 100Reported as group

Quality

59.72

Improvement activities

40

Cost

66.71

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

83.7

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 26)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIJIBD

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Agape Hospice & Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Torrance, CA
  • NPI 1568863157

  Contracted Managing Employee

  CMS ownership
• Seasons Hospice & Palliative Care of California-Orange, LLC

  • Community Based Hospice Care Agency
  • Orange, CA
  • NPI 1538309307

  Contracted Managing Employee

  CMS ownership

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.

• Paloma Medical Group Inc

  • Specialist
  • San Juan Capistrano, CA
  • NPI 1346331725

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Seasons Medical Group of California Incorporated

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Diego, CA
  • NPI 1790239473
  Medicare reassignment Care Compare group NPD
• UC Regents

  • Infectious Disease Physician
  • Orange, CA
  • NPI 1760430847
  Medicare reassignment Care Compare group NPD
• Gapcare PC

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1548010184
  Medicare reassignment NPD
• Inpatient Specialists of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1952792475
  Medicare reassignment NPD
• Pacific Private Practice Network Inc

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
  • NPI 1033501077

  Internal Medicine

  Medicare reassignment NPD
• Paloma Incare

  • Hospitalist Physician
  • San Juan Capistrano, CA
  • NPI 1013621812
  Medicare reassignment NPD
• The Regents of the University of California-Irvine

  • Hospitalist Physician
  • Orange, CA
  • NPI 1154479723
  Medicare reassignment NPD
• Seasons Medical Group of Oregon PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1548774375
  Medicare reassignment NPD
• Sun Medical Group, Inc

  • Urgent Care Clinic/Center
  • Ladera Ranch, CA
  • NPI 1114588704
  Medicare reassignment
• UC Regents

  • Pulmonary Disease Physician
  • Orange, CA
  • NPI 1629026729
  NPD
• Accentcare Medical Group of Washington, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Washington, DC
  • NPI 1801630694
  NPD

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

• 2210 Santa Ana Opco, LLC

  • Skilled Nursing Facility
  • Santa Ana, CA
  • NPI 1548684467

  Nursing home

  Care Compare affiliation
• Accentcare Home Health of California, Inc.

  • Home Health Agency
  • Newport Beach, CA
  • NPI 1528014982
  Care Compare affiliation
• Agape Hospice & Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Torrance, CA
  • NPI 1568863157
  Care Compare affiliation
• Carechoices Home Health Services LLC

  • Home Health Agency
  • Fullerton, CA
  • NPI 1992943161
  Care Compare affiliation
• Garden Park Care Center LLC

  • Skilled Nursing Facility
  • Garden Grove, CA
  • NPI 1477659399

  Nursing home

  Care Compare affiliation
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• Hollyleaf Healthcare, Inc.

  • Skilled Nursing Facility
  • Orange, CA
  • NPI 1821701590

  Nursing home

  Care Compare affiliation
• Mission Hospital Regional Medical Center

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1912108002
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1992752315
  Care Compare affiliation
• Norway Maple Holdings, LLC

  • Skilled Nursing Facility
  • Newport Beach, CA
  • NPI 1720273576

  Nursing home

  Care Compare affiliation
• Saddleback Memorial Medical Center

  • General Acute Care Hospital
  • Laguna Hills, CA
  • NPI 1275576381
  Care Compare affiliation
• Seasons Hospice & Palliative Care of California-Orange, LLC

  • Community Based Hospice Care Agency
  • Orange, CA
  • NPI 1538309307
  Care Compare affiliation

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1801129663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7087",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637087",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD",
            "address_2": "SUITE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751557",
            "telephone_number": "949-443-4303",
            "fax_number": "949-443-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "SANJIVAN",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A109968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Klein
• Jeffrey Alan Klein, MD
• Cheryl Lynn Klem, LMFT
• Robert Lee Kluss, D.D.S.
• Jeremy Daniel Knappe, BCAT
• Michael Anthony Krufka Jr., DC
• Lois Kuechler, RPH
• Karny Kuehl, PA-C
• Neha Patil Kumar, M.A., LMFT
• L. Khamsei DDS, Inc.

• Pulmonary Disease Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.