Active NPI
Carolyn M Kassabian, M.D.
- Dermatology Physician
- Mission Hills, CA
National Provider Identifier
1851335152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A80284
- Practice address
- 14901 Rinaldi St
Suite 305
Mission Hills, CA 91345-1204 - Phone
- (818) 838-6070
- Fax
- (818) 837-6832
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A80284 | CA | Primary |
Addresses
Primary practice location
14901 Rinaldi St
Suite 305
Mission Hills, CA 91345-1204
Mailing address
14901 Rinaldi St
Suite 305
Mission Hills, CA 91345-1204
Phone (818) 838-6070
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
- Dermatology
- Education
- University of Southern California Keck School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14901 Rinaldi St
Mission Hills, CA 91345-1255
Phone (818) 838-6070
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 851 |
| Removal or shaving of skin growth | 12 |
| Skin biopsy | 129 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80284 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolyn Kassabian, MD Inc a Professional Corporation | Dermatology | Current | Accepting new patients |
| Heather J. Roberts, M.D., a Medical Corporation | Dermatology | Past | Accepting new patients |
| Providence Health System - Southern California | Past | Accepting new patients |
Locations
14901 Rinaldi St
Ste 305
Mission Hills, CA 91345
Phone (818) 837-6830
Interoperability endpoints
- carolyn.kassabian.p171@direct.healthcarepartners.nextgenshare.com
Organizations & group practices 3
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.
-
- Dermatology Physician
- Mission Hills, CA
- NPI 1467555326
-
- Dermatology Physician
- Los Angeles, CA
- NPI 1285834390
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1851335152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14901 RINALDI ST",
"address_2": "SUITE 305",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451204",
"telephone_number": "818-838-6070",
"fax_number": "818-837-6832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 RINALDI ST",
"address_2": "SUITE 305",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451204",
"telephone_number": "818-838-6070",
"fax_number": "818-837-6832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSABIAN",
"first_name": "CAROLYN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A80284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.