NPIMap

Organization Active NPI

Paul S Kim and Kirk L Ohanian,MD Inc

  • Diagnostic Radiology Physician
  • San Clemente, CA
National Provider Identifier
1912959669
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PAUL S KIM AND KIRK L OHANIAN,MD INC
Practice address
654 Camino de Los Mares
San Clemente, CA 92673-2827
Phone
(949) 489-4507
Fax
(949) 489-4657
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Kirk L Ohanian, M.D.NPI 1285684449
Title
President
Phone
(949) 489-4507

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

654 Camino de Los Mares
San Clemente, CA 92673-2827

Mailing address

Dept la 21586
Pasadena, CA 91185-0001
Phone (949) 489-4507

Other identifiers 3

IdentifierTypeStateIssuer
GR0101710MedicaidCA
ZZZ09164ZOtherCABLUE SHIELD
ZZZ65273ZOtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

431 S Batavia St
Ste 103
Orange, CA 92868
Phone (714) 538-6731

Dept LA 21586
Pasadena, CA 91185

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1912959669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21586",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911850001",
            "telephone_number": "949-489-4507",
            "fax_number": "949-489-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 CAMINO DE LOS MARES",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732827",
            "telephone_number": "949-489-4507",
            "fax_number": "949-489-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S KIM AND KIRK L OHANIAN,MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "OHANIAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-489-4507",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ09164Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65273Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.