Seyed Ali Khonsary, M.D.

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

A44590 Issued in CA

Practice address

2701 Firestone Blvd
Suite W
South Gate, CA 90280-2778

Phone

(323) 249-6162

Fax

(323) 563-0820

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Soraya Medical Group, Inc.

  • General Practice Physician
  • South Gate, CA
  • NPI 1285782664
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003024464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241963",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900249763",
            "telephone_number": "310-204-1732",
            "fax_number": "310-204-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 FIRESTONE BLVD",
            "address_2": "SUITE W",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802778",
            "telephone_number": "323-249-6162",
            "fax_number": "323-563-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHONSARY",
        "first_name": "SEYED ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A44590",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A44590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INS. ID.",
            "identifier": "A44590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katy Chou DDS Dental Corp
• Katy Chou DDS Inc.
• Raman K Kaushal
• Margaret Sara Kendall, MD
• Kenneth Cohn, M.D., a Medical Corporation
• Andrew Jung Woo Kim, MD
• Irene Kim, DO
• Isaac Kwangnyon Kim, MD
• Jintae Kim
• Joseph Kim

• Nuclear Medicine Physician in South Gate, CA
• Providers in South Gate, CA by specialty
• Nuclear Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.