Kazanchyan Medical Group

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

KAZANCHYAN MEDICAL GROUP

Doing business as

Kazanchyan Medical Group

Practice address

342 Bonnie Cir Ste a
Corona, CA 92878-4392

Phone

(800) 626-2468

Fax

(951) 278-5590

NPI assigned

Aug 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Movses Kazanchyan, MDNPI 1154683530

Title

President

Phone

(818) 437-7139

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KAZANCHYAN MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Movses Kazanchyan, MD

  • Hospitalist Physician
  • Mission Hills, CA
  • NPI 1154683530
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1881312247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77790",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770126",
            "telephone_number": "951-278-5590",
            "fax_number": "951-278-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 BONNIE CIR STE A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928784392",
            "telephone_number": "800-626-2468",
            "fax_number": "951-278-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZANCHYAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "KAZANCHYAN",
        "authorized_official_first_name": "MOVSES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-437-7139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITALIST",
            "identifier": "A146695",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAZANCHYAN MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KAZANCHYAN MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garrett Kawata, D.D.S. INC
• Mary Agnes Kawere, LVN
• Kimberly Michelle Kay, MFT INTERN, ABA
• Kacy L Kaye, RBT
• Kayla M. Yinger N.P., Inc.
• Mina Kazemian, DO
• Krista Suzanne Keleher
• Amanda Kelley
• Shaun Kelley
• Zoe Kelley

• Hospitalist Physician in Corona, CA
• Providers in Corona, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.