Individual provider Active NPI

Kioumars Bolourian Kashi, MD

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1851700132
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A150087 Issued in CA
Practice address
18321 Clark St
Tarzana, CA 91356-3501
Phone
(818) 823-8911
Fax
(310) 423-8441
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A150087 CA Primary

Addresses

Primary practice location

18321 Clark St
Tarzana, CA 91356-3501

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2505

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
I20190828003491 CA Practitioner - Internal Medicine 5496083438 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Renal Consultants of Ventura County IncGroup PAC ID 1658595590, 9 clinicians

Practice addresses (Care Compare)

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

2438 N Ponderosa Dr
Suite C101
Camarillo, CA 93010-2465
Phone (805) 383-9727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150087CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Consultants of Ventura County, Inc CurrentSince Jul 1, 2025 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Jul 3, 2019 Accepting new patients
Hospital Medicine of California Inc Family Medicine CurrentSince Sep 19, 2024 Accepting new patients
Kansal Inc Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 1, 2025 Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2438 N Ponderosa Dr
Ste C101
Camarillo, CA 93010
Phone (559) 664-9252

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

4000 Calle Tecate
Ste 115
Camarillo, CA 93012
Phone (805) 485-2400

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

1900 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 278-3815

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCJAD
  • Direct secure messaging: kbolouriankashi1361725@direct.uclahealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1851700132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "818-823-8911",
            "fax_number": "310-423-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Rose Ave",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930303722",
            "country_code": "US",
            "telephone_number": "805-988-2505",
            "fax_number": "805-988-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLOURIAN KASHI",
        "first_name": "KIOUMARS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A150087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.