Sid Kohan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G79439 Issued in CA

Practice address

821 N Bundy Dr
Los Angeles, CA 90049-1506

Phone

(818) 552-6230

Fax

(818) 637-2785

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

Yes

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

General Practice

Education

Medical College of Wisconsin, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chatsworth Medlink IncGroup PAC ID 1153831953, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4
• Direct secure messaging: saeid.kohandarvish.p1@direct.lakeside.nextgenshare.com

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.

• Chatsworth Medlink Inc

  • Health Service Clinic/Center
  • Granada Hills, CA
  • NPI 1538973839
  Medicare reassignment Care Compare group
• Epic Medical Group,Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1295178689
  Medicare reassignment NPD
• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642
  Medicare reassignment NPD
• Dignity Health

  dba Mercy Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)
• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293
  NPD (past)
• Henry Mayo Newhall Memorial Hospital

  dba Henry Mayo Newhall Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  NPD (past)
• Lakeside Medical Associates, a Medical Group, Inc.

  dba Lakeside Community Healthcare Medical Group

  • Rheumatology Physician
  • Burbank, CA
  • NPI 1861499535
  NPD (past)
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)
• Providence Health System - Southern California

  dba Providence Holy Cross Medical Center

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)
• Sally Kashani DDS, Dental Corporation

  dba Toluca Lake Dental

  • Health Maintenance Organization
  • Toluca Lake, CA
  • NPI 1659764991
  NPD (past)
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1881698132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N BUNDY DR",
            "address_2": "STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491506",
            "telephone_number": "818-508-7474",
            "fax_number": "818-508-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N BUNDY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491506",
            "telephone_number": "818-552-6230",
            "fax_number": "818-637-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHAN",
        "first_name": "SID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G793490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario Kohan, MD
• Mitra Kohan, MD
• Naghmeh Melody Kohan, M.S.
• Rozalin Rabieian Kohan, D.O.
• Siamak Kohan
• Bethie Kohanchi Kohanbash, LMFT
• Farzad Kohanbash, DDS INC
• Gershon Eliezer Kohanbash, PHARMD
• Rachel Kohanbash, PHARMD
• Nastaran Esther Kohanchi, PHARM.D

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.