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HARLEY IAN KORNBLUM M.D.
NPI 1386651115
Pediatrics - Neurodevelopmental Disabilities in Los Angeles, CA

Active since August 02, 2006PECOS Enrolled
80.5/100
CMS Quality Rating
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095(310) 206-3952(310) 206-0209 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Harley Ian Kornblum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARLEY IAN KORNBLUM M.D. (NPI 1386651115) is an individual neurodevelopmental disabilities provider in Los Angeles, California, licensed in California (G70261) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386651115
Entity TypeIndividualMale
Primary Taxonomy2080P0008X
Provider Legal NameHARLEY IAN KORNBLUMCredential: M.D.
Location Address10833 LE CONTE AVE, 12-441 MDCCLos Angeles, CA 90095-3075
Mailing Address10833 Le Conte Ave, 12-441 MdccLos Angeles, CA 90095-3075 · (310) 206-3952 · Fax (310) 206-0209
Phone(310) 206-3952
Fax(310) 206-0209
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 20, 2012
✔ NPI 1386651115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in CA · G70261
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
10833 LE CONTE AVE, Los Angeles, CA 90095
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type UnspecifiedW11810CA · Group Number
Medicaid00G702610CA
MedicaidGR0053510CA
Medicare ID-Type UnspecifiedWG70261ACA
Medicare PINGC059ZCA
Medicare UPINF86534CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harley Ian Kornblum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.83
Promoting Interoperability100
Improvement Activities40
Cost20.85

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER A FULCHER M.D., PH.D.
Internal Medicine (Infectious Disease)
10833 LE CONTE AVE, CHS 37-121
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7225
LEE HAROLD HILBORNE MD
Pathology (Anatomic Pathology & Clinical Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Los Angeles County (310) 794-8285
PETER TONTONOZ MD
Pathology (Anatomic Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Los Angeles County (310) 794-8285
HSIN Y LEE MD
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4721
COLIN J. WELLS MD
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 301-6800
RODNEY L TEICHNER MD
Anesthesiology
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9111
DR. LLOYD EDWARD GREASER III M.D.
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE, DEPARTMENT OF RADIOLOGY
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4321
BRANDON KEN ITAGAKI M.D.
Internal Medicine
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harley Kornblum's NPI number?

The NPI number for Harley Kornblum is 1386651115. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Harley Kornblum located?

Harley Kornblum practices at 10833 Le Conte Ave 12-441 Mdcc, Los Angeles, CA 90095. The listed phone number is (310) 206-3952.

What is Harley Kornblum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Harley Kornblum enrolled in Medicare?

Yes. Harley Kornblum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Harley Kornblum was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.