Ghazal Khorrami, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A196676 Issued in CA

Practice address

251 Vintage Way
Novato, CA 94945-5004

Phone

(415) 892-0965

Fax

(415) 461-3792

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1003484387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 VINTAGE WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455004",
            "telephone_number": "415-892-0965",
            "fax_number": "415-461-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 VINTAGE WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455004",
            "telephone_number": "415-892-0965",
            "fax_number": "415-461-3792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Bon Air Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391137",
            "country_code": "US",
            "telephone_number": "415-461-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHORRAMI",
        "first_name": "GHAZAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A196676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Eric Kent, D.D.S.
• Katherine Kentfield-Kessner, NP
• Alan Kepner, MFT
• Susan Levinson Kessner, M.S.
• Joanne Kha, LAC
• Gary Oscar Kiehne, PSY.D MFT
• Susan Kim-Katz, PHARM. D.
• Chris Y Kim, DO
• Paul Kim, DDS
• Bernardine Victoria King, D.C.

• Pediatrics Physician in Novato, CA
• Providers in Novato, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.