Mehrnaz Kouhkan, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3152 Issued in CA

Practice address

23928 Lyons Ave
Ste 204
Newhall, CA 91321-2455

Phone

(310) 347-5088

NPI assigned

Dec 5, 2013

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Female

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bartz-Altadonna Community Health CenterGroup PAC ID 6204090178, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bartz-Altadonna Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lancaster, CA
  • NPI 1811279763
  Medicare reassignment Care Compare group NPD
• Kouhkan DPM Corporation

  • Foot & Ankle Surgery Podiatrist
  • Newhall, CA
  • NPI 1457885626
  Medicare reassignment Authorized official
• Bartz-Altadonna Community Health Center

  • Community/Retail Pharmacy
  • Lancaster, CA
  • NPI 1700672011
  NPD
• Sina Tebi MD Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Newhall, CA
  • NPI 1942661624
  NPD
• Michael D. Kotzen, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Valley Village, CA
  • NPI 1013105972
  NPD (past)

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1992136683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11690 MONTANA AVE",
            "address_2": "APT 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494671",
            "telephone_number": "310-838-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE",
            "address_2": "STE 204",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212455",
            "telephone_number": "310-347-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUHKAN",
        "first_name": "MEHRNAZ",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3152",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Harold King, MFT
• KM Speech and Language Pathology, Inc.
• Robert J Kogen, DDS
• Courtney Kosnik
• Kouhkan DPM Corporation
• Melissa Krueger
• Sofiya Kubert, BCBA
• La Casa Care Hospice, Inc.
• La Votre RX
• La Votre RX

• Foot & Ankle Surgery Podiatrist in Newhall, CA
• Providers in Newhall, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.