Individual provider Active NPI

Ken Shoji Honbo, MD FACE

  • Endocrinology, Diabetes & Metabolism Physician
  • Encino, CA
National Provider Identifier
1922185735
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G31053 Issued in CA
Practice address
16311 Ventura Blvd
880
Encino, CA 91436
Phone
(818) 783-2000
Fax
(818) 783-5583
NPI assigned
Nov 1, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G31053 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G31053 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd
880
Encino, CA 91436

Mailing address

16311 Ventura Blvd
880
Encino, CA 91436
Phone (818) 783-2000

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
I20101213000496 CA Practitioner - Internal MedicinePractitioner - Endocrinology 0143417402 Practice locations: Encino, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G31053CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arash Nourparvar M D Inc Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2003 Accepting new patients

Locations

16311 Ventura Blvd
Ste 880
Encino, CA 91436
Phone (818) 783-2000

Interoperability endpoints

  • Direct secure messaging: ken.honbo@268226936045572.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1922185735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "880",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-783-2000",
            "fax_number": "818-783-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "880",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-783-2000",
            "fax_number": "818-783-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONBO",
        "first_name": "KEN",
        "middle_name": "SHOJI",
        "name_prefix": "Dr.",
        "credential": "MD FACE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G31053",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G31053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.