Individual provider Active NPI

Eric James Kezirian, MD

  • Otolaryngology Physician
  • Santa Monica, CA
National Provider Identifier
1982669701
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A83825 Issued in CA
Practice address
1131 Wilshire Blvd Ste 302
Santa Monica, CA 90401-2061
Phone
(424) 259-6559
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A83825 CA Primary

Addresses

Primary practice location

1131 Wilshire Blvd Ste 302
Santa Monica, CA 90401-2061

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

9033 Wilshire Blvd Ste 360
Beverly Hills, CA 90211-1846
Phone (323) 442-5790

Other practice location 2

1450 San Pablo St Ste 5100
Los Angeles, CA 90033-5331
Phone (323) 442-5790

Other practice location 3

9675 Brighton Way Ste 100
Beverly Hills, CA 90210-5132
Phone (310) 205-7310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eric.kezirian@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

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
I20040628000365 CA Practitioner - OtolaryngologyPractitioner - Sleep Medicine 2668458951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Sleep Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 6406749308, 33 clinicians

Practice addresses (Care Compare)

1131 Wilshire Blvd
Suite 302
Santa Monica, CA 90401-2061
Phone (424) 259-6559

200 Medical Plaza
Suite 550
Los Angeles, CA 90024-7002
Phone (310) 794-1110

9675 Brighton Way
Suite 100
Beverly Hills, CA 90210-5132
Phone (310) 281-0010

Hospital & facility affiliations

  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Jul 1, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2013 Accepting new patients
Usc Care Medical Group, Inc Otolaryngology CurrentSince Jul 1, 2013 Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

125 W Huntington Dr
Ste A200
Arcadia, CA 91007

9033 Wilshire Blvd
Ste 305
Beverly Hills, CA 90211
Phone (310) 278-0656

9675 Brighton Way
Ste 100
Beverly Hills, CA 90210
Phone (310) 205-7310

9033 Wilshire Blvd
Ste 360
Beverly Hills, CA 90211
Phone (310) 601-3342

222 W Eulalia St
Ste 200
Glendale, CA 91204
Phone (818) 291-4010

1370 Foothill Blvd
Ste 100
La Canada Flt, CA 91011
Phone (818) 649-3919

File 54206
Los Angeles, CA 90074

1450 San Pablo St
Ste 5100
Los Angeles, CA 90033
Phone (323) 409-7316

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1520 San Pablo St
Ste 4600
Los Angeles, CA 90033
Phone (323) 442-5827

1131 Wilshire Blvd
Ste 302
Santa Monica, CA 90401
Phone (424) 259-6559

Interoperability endpoints

  • Direct secure messaging: ekezirian1165697@direct.uclahealth.org
  • Direct secure messaging: eric.kezirian@direct.usc.edu

Organizations & group practices 4

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 2

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1982669701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WILSHIRE BLVD STE 302",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012061",
            "telephone_number": "424-259-6559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9033 Wilshire Blvd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111846",
            "country_code": "US",
            "telephone_number": "323-442-5790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 San Pablo St Ste 5100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335331",
            "country_code": "US",
            "telephone_number": "323-442-5790",
            "fax_number": "323-442-7696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9675 Brighton Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902105132",
            "country_code": "US",
            "telephone_number": "310-205-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEZIRIAN",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A83825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.kezirian@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1450 San Pablo St Ste 5100",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.