Roya Kohani, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A64593 Issued in CA

Practice address

7300 Girard Ave Ste 101
La Jolla, CA 92037-5138

Phone

(858) 459-2040

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Revivamed Medical Corporation

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1609061498
  NPD (past) Authorized official
• Scripps Clinic Medical Group

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1124003280
  NPD (past)
• Banner Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Tucson, AZ
  • NPI 1154384899
  NPD (past)
• Banner-University Medical Group

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508809427

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1831112259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 COUNTRY CLUB DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375609",
            "telephone_number": "858-869-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 GIRARD AVE STE 101",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375138",
            "telephone_number": "858-459-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANI",
        "first_name": "ROYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Koenigsberger, M.D., PH.D.
• Joshua Koeplin-Day, PA-C
• Collan Lee Koeppen, D.C.
• Diane Kay Koester, RN, NP
• Steve Sang -Hyun Koh, M.D
• Mark E Kohout, CCC-SLP
• Adam Alexander Kolawa, MD
• Danielle Kolb, SLP
• Alexa P. Kollmeier, M.D.
• Kevin Paul Kolostyak, MD

• Internal Medicine Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.