Organization Active NPI

Samuel a Kojoglanian MD Facc a Medical Corporation

  • Interventional Cardiology Physician
  • Newhall, CA
National Provider Identifier
1851559546
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A60872 Issued in CA
Legal business name
SAMUEL A KOJOGLANIAN MD FACC A MEDICAL CORPORATION
Practice address
24868 Apple St Ste 103-104
Newhall, CA 91321-5037
Phone
(661) 259-1711
NPI assigned
May 29, 2008
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Dr. Samuel A. Kojoglanian, M.D.NPI 1700879384
Title
Interventional Cardiologist
Phone
(661) 259-1711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A60872 CA Primary

Addresses

Primary practice location

24868 Apple St Ste 103-104
Newhall, CA 91321-5037

Mailing address

24868 Apple St Ste 103-104
Santa Clarita, CA 91321-5037
Phone (661) 259-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081114000207 CA Part B Supplier - Clinic/Group Practice 5496815979 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clarita, CA

National Provider Directory

National Provider Directory

Locations

24868 Apple St
Ste 103
Santa Clarita, CA 91321

24868 Apple St
Ste 103104
Santa Clarita, CA 91321
Phone (661) 259-1711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1851559546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24868 APPLE ST STE 103-104",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913215037",
            "telephone_number": "661-259-1711",
            "fax_number": "661-259-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24868 APPLE ST STE 103-104",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215037",
            "telephone_number": "661-259-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL A KOJOGLANIAN MD FACC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "KOJOGLANIAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "INTERVENTIONAL CARDIOLOGIST",
        "authorized_official_telephone_number": "661-259-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A60872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.