Individual provider Active NPI

Aram Hagop Kechichian, D.O.

  • Procedural Dermatology Physician
  • Santa Clarita, CA
National Provider Identifier
1841241486
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
20A8307 Issued in CA
Practice address
27141 Hidaway Ave
Suite 104
Santa Clarita, CA 91351-4131
Phone
(661) 299-6900
Fax
(661) 299-1300
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 20A8307 CA
Procedural Dermatology Physician 207NS0135X 20A8307 CA Primary

Addresses

Primary practice location

27141 Hidaway Ave
Suite 104
Santa Clarita, CA 91351-4131

Mailing address

27141 Hidaway Ave
Suite 104
Santa Clarita, CA 91351-4131
Phone (661) 299-6900

Other practice location 1

38460 5th St W Ste G
Palmdale, CA 93551-4685
Phone (661) 299-6900

Other identifiers 1

IdentifierTypeStateIssuer
P00043045OtherCARAILROAD MEDICARE

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
I20040916001398 CA Practitioner - Dermatology 3173591294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio University, College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27141 Hidaway Ave
Santa Clarita, CA 91351-4150
Phone (661) 299-6900

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of skin lesions853
Removal of skin cancer22
Removal or shaving of skin growth1-10
Skin biopsy297

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8307CAMDProfessional Counselor
20A8307CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Dermatology Inc CurrentSince Feb 12, 2008 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

38460 5th St W
Ste G
Palmdale, CA 93551
Phone (661) 299-6900

27141 Hidaway Ave
Ste 104
Santa Clarita, CA 91351
Phone (661) 299-1212

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: testprovider.test.d1.p1@direct.hdmgipa.nextgenshare.com
  • Direct secure messaging: testprovider.test.p1@direct.hdmgipa.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1841241486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "SUITE 104",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-299-6900",
            "fax_number": "661-299-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "SUITE 104",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-299-6900",
            "fax_number": "661-299-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38460 5th St W Ste G",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935514685",
            "country_code": "US",
            "telephone_number": "661-299-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KECHICHIAN",
        "first_name": "ARAM",
        "middle_name": "HAGOP",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "20A8307",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "20A8307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00043045",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.