Individual provider Active NPI

Joseph Anthony Karam, MD

  • Trauma Surgery Physician
  • Northridge, CA
National Provider Identifier
1922097054
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
G88497 Issued in CA
Practice address
18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone
(818) 825-8500
NPI assigned
Oct 20, 2005
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G88497 CA
Trauma Surgery Physician 2086S0127X MA67676 NJ
Trauma Surgery Physician 2086S0127X MD044438E PA
Trauma Surgery Physician 2086S0127X G88497 CA Primary

Addresses

Primary practice location

18300 Roscoe Blvd
Northridge, CA 91325-4105

Mailing address

PO Box 3776
Manhattan Beach, CA 90266-1776
Phone (424) 206-1422

Other identifiers 2

IdentifierTypeStateIssuer
1922097054MedicaidCA
0014931500006MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 18300RoscoeBlNorthridgeCA91325 Direct

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
I20100528000286 CA Practitioner - General SurgeryPractitioner - General PracticePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 3870542921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northridge Trauma Surgeons Inc a Medical CorporationGroup PAC ID 2567828825, 13 clinicians

Practice addresses (Care Compare)

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 998-8591

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G88497CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northridge Trauma Surgeons Inc a Medical Corporation Surgery CurrentSince Mar 1, 2023 Accepting new patients
TPS IV of PA, LLC Trauma Surgery Past Accepting new patients
East Bay Trauma & Acute Care Surgery Inc. Past Accepting new patients

Locations

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

9227 Reseda Blvd
Northridge, CA 91324
Phone (818) 631-1064

Organizations & group practices 3

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 1

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1922097054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3776",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902661776",
            "telephone_number": "424-206-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254105",
            "telephone_number": "818-825-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAM",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G88497",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NJ",
            "license": "MA67676",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "MD044438E",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "G88497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922097054",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014931500006",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "18300RoscoeBlNorthridgeCA91325",
            "affiliation": "N",
            "endpointDescription": "Service Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hospital/Service Address",
            "address_1": "18300RoscoeBl",
            "city": "Northridge",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.