Individual provider Active NPI

Elvin Kasimoglu, MD

  • General Practice Physician
  • Glendale, CA
National Provider Identifier
1992349765
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A70852 Issued in CA
Practice address
1101 E Broadway
Glendale, CA 91205-1383
Phone
(818) 500-9286
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A70852 CA Primary

Addresses

Primary practice location

1101 E Broadway
Glendale, CA 91205-1383

Mailing address

7 Coachman
Trabuco Canyon, CA 92679-4203
Phone (949) 459-2663

Other identifiers 1

IdentifierTypeStateIssuer
A70852OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70852CAMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: elvin.kasimoglutran@3856.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1992349765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COACHMAN",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926794203",
            "telephone_number": "949-459-2663",
            "fax_number": "949-459-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051383",
            "telephone_number": "818-500-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIMOGLU",
        "first_name": "ELVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A70852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A70852",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.