DR. JONATHAN JAKOB KHOUBIAN M.D.
NPI 1851770044
Pediatrics - Pediatric Critical Care Medicine in Los Angeles, CA

Q: What is Jonathan Khoubian's NPI number?

The NPI number for Jonathan Khoubian is 1851770044. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Q: What is Jonathan Khoubian's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Khoubian was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 21, 2015PECOS Enrolled

10833 LE CONTE AVE, 12-475 MDCC, LOS ANGELES, CA 90095(310) 267-8215 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jonathan Jakob Khoubian M.d. NPPES

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

DR. JONATHAN JAKOB KHOUBIAN M.D. (NPI 1851770044) is an individual pediatric critical care medicine provider in Los Angeles, California, licensed in California (A149291) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851770044

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. JONATHAN JAKOB KHOUBIANCredential: M.D.

Location Address10833 LE CONTE AVE, 12-475 MDCCLos Angeles, CA 90095-1752

Mailing Address10833 Le Conte Ave, 12-475 MdccLos Angeles, CA 90095-1752 · (323) 401-6737

Phone(310) 267-8215

Sole ProprietorNo

Enumeration DateMay 21, 2015

Last NPPES UpdateJanuary 22, 2021

NPPES CertifiedJanuary 22, 2021

✔ NPI 1851770044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · A149291

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10833 LE CONTE AVE, Los Angeles, CA 90095

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Jakob Khoubian 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 Billing Reassignment

Medicare enrollment records show Jonathan Khoubian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm

14 mi

Transplant Surgery

1505 WILSON TERRACE, SUITE 155
Glendale, CA 91206

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1508255175 (909) 558-3636

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jonathan Khoubian's NPI number?

The NPI number for Jonathan Khoubian is 1851770044. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Jonathan Khoubian located?

Jonathan Khoubian practices at 10833 Le Conte Ave 12-475 Mdcc, Los Angeles, CA 90095. The listed phone number is (310) 267-8215.

What is Jonathan Khoubian's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jonathan Khoubian enrolled in Medicare?

Yes. Jonathan Khoubian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Khoubian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Khoubian reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Glendale, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Khoubian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Khoubian was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.