Som Kohanzadeh, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A95627 Issued in CA

Practice address

250 N Robertson Blvd Ste 106
Beverly Hills, CA 90211-1767

Phone

(310) 919-4179

Fax

(818) 643-4255

NPI assigned

Apr 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Plastic and Reconstructive Surgery

Education

University of California, San Diego School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Center IncGroup PAC ID 3870030141, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Warmcare Home Health, Inc Home health agency, Canoga Park, CA, CCN 559380
• Oxy Home Health Services Inc Home health agency, Reseda, CA, CCN 757349
• Wellsky Home Health Care, Inc Home health agency, Simi Valley, CA, CCN 757722
• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

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.

• Wound Center Inc

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1174362818
  Medicare reassignment Care Compare group NPD Authorized official
• Som K Plastic Surgery PC

  • Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1457764276
  Medicare reassignment NPD Authorized official
• Beverly Hills Hyperbarics, Inc.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Beverly Hills, CA
  • NPI 1255186300
  Medicare reassignment NPD
• Wound Institute of America

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1437505393
  Medicare reassignment NPD
• Under Pressure Hyperbarics Medical Corp

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Beverly Hills, CA
  • NPI 1457982696
  NPD

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
• Oxy Home Health Services Inc

  • Home Health Agency
  • Reseda, CA
  • NPI 1124693726
  Care Compare affiliation
• Valeo Home Health Care, Inc

  • Home Health Agency
  • Simi Valley, CA
  • NPI 1750046694
  Care Compare affiliation
• Warmcare Home Health, Inc.

  • Home Health Agency
  • Canoga Park, CA
  • NPI 1215410154
  Care Compare affiliation

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1952575342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 1151",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-919-4179",
            "fax_number": "818-643-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111767",
            "telephone_number": "310-919-4179",
            "fax_number": "818-643-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANZADEH",
        "first_name": "SOM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A95627",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A95627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Koblin, M.D.
• John R Koegel, DPT
• Peter Koh, OD
• Guity Kohan-Zakay, RPH
• Emil Kohan, MD
• Yoram Kohanzadeh, D.D.S.
• Deeba Kohi, PA
• Matthew Blake Kollefrath, M.D.
• Celia Kong, PA-C
• Dianne Kong

• Plastic and Reconstructive Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.