Active NPI
Eric James Kezirian, MD
- Otolaryngology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A83825
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- 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
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
- Ronald Reagan UCLA Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Otolaryngology | Current | 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
- ekezirian1165697@direct.uclahealth.org
- 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.
-
- Surgery Physician
- Los Angeles, CA
- NPI 1619935251
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Otolaryngology
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.