Individual provider Active NPI

David Kohanchi, M.D.

  • Anesthesiology Physician
  • San Jose, CA
National Provider Identifier
1962821629
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
159433 Issued in CA
Practice address
2425 Samaritan Dr
San Jose, CA 95124-3908
Phone
(408) 559-2011
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 274745 MA
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 159433 CA Primary

Addresses

Primary practice location

2425 Samaritan Dr
San Jose, CA 95124-3908

Mailing address

755 Blossom Hill Rd
Los Gatos, CA 95032-3502
Phone (818) 430-6441

Other practice location 1

2100 Powell St
Emeryville, CA 94608
Phone (510) 350-2777

Other practice location 2

75 Francis St
Boston, MA 02115
Phone (617) 732-8210

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
I20190807001991 CA Practitioner - Anesthesiology 5496054389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, San Diego School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159433CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
G2 Anesthesia PC Anesthesiology CurrentSince Oct 25, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Brigham and Women'S Faulkner Hospital, Inc. Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations (25 of 27)

3351 El Camino Real
Ste 220
Atherton, CA 94027
Phone (650) 363-2800

1720 El Camino Real
Ste 100
Burlingame, CA 94010
Phone (650) 259-5300

2605 S Winchester Blvd
Campbell, CA 95008
Phone (401) 341-8600

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

3803 S Bascom Ave
Ste 204
Campbell, CA 95008
Phone (408) 559-8658

3803 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 559-7177

3803 S Bascom Ave
Ste 106
Campbell, CA 95008
Phone (408) 249-3840

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

4756 El Camino Real
Los Altos, CA 94022
Phone (650) 445-4724

14830 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 377-5556

15780 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-5000

15195 National Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0454

15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 Forest Ave
Palo Alto, CA 94301
Phone (650) 289-1208

101 Addison Ave
Palo Alto, CA 94301
Phone (650) 433-8621

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

3468 California St
San Francisco, CA 94118
Phone (415) 345-0100

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

2410 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 369-9798

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2400 Samaritan Dr
Ste 206
San Jose, CA 95124
Phone (408) 369-9300

2110 Forest Ave
Ste 2
San Jose, CA 95128
Phone (408) 297-3432

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

Organizations & group practices 7

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.

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1962821629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 BLOSSOM HILL RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323502",
            "telephone_number": "818-430-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243908",
            "telephone_number": "408-559-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Powell St",
            "address_purpose": "LOCATION",
            "city": "Emeryville",
            "state": "CA",
            "postal_code": "94608",
            "country_code": "US",
            "telephone_number": "510-350-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02115",
            "country_code": "US",
            "telephone_number": "617-732-8210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHANCHI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "274745",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "159433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.