Igor V Kozlov, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A86248 Issued in CA

Practice address

21114 Vanowen St
Canoga Park, CA 91303-2821

Phone

(818) 992-7848

Fax

(818) 992-7748

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pathology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Pathologists Medical Group, Inc.Group PAC ID 7315840535, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score

93.39 of 100Reported as group

Quality

88.62

Improvement activities

40

Cost

77.86

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Affiliated Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
  • NPI 1730119553
  Medicare reassignment Care Compare group NPD
• Interscope Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Westlake Village, CA
  • NPI 1104830074

  Specialist

  Medicare reassignment NPD
• Interscope Pathology Medical Group

  • Clinical Medical Laboratory
  • Westlake Village, CA
  • NPI 1386807246
  NPD
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  NPD (past)
• Soc Pathology Medical Group Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
  • NPI 1598081424
  NPD (past)

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

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation
• Tarzana Medical Center LLC

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1881629368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21114 VANOWEN ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032821",
            "telephone_number": "818-992-7848",
            "fax_number": "818-992-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21114 VANOWEN ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032821",
            "telephone_number": "818-992-7848",
            "fax_number": "818-992-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOV",
        "first_name": "IGOR",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE NUMBER",
            "identifier": "A86248",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kokoro Recovery LLC
• Kushal Kolli
• Natalia Kordonsky
• Ashraf Kossarian, P.T
• Sarah Elizabeth Kovacs
• Polina Kozlova
• Chris Krauser Allan Krauser I
• Debora Lee Kreimer-Schneider, LMFT
• Steve Kudler, PSY.D, FPPR
• Ai Kusayanagi

• Specialist in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.

Verify at the official NPI Registry.