Badr Khalil Ghumrawi, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

C51860 Issued in CA

Practice address

43 San Simeon
Laguna Niguel, CA 92677-7951

Phone

(949) 495-5161

NPI assigned

Nov 20, 2006

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1013081322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SAN SIMEON",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777951",
            "telephone_number": "949-495-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SAN SIMEON",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777951",
            "telephone_number": "949-495-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHUMRAWI",
        "first_name": "BADR",
        "middle_name": "KHALIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "C51860",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C51860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4132029",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231538",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "100430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000129043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE",
            "identifier": "27174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "71479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Ghahramani-Singh, L.AC.
• Lilley Nina Gharavi, D.M.D.
• Parvin Ghassemian
• Dina Rafik Ghobrial, DDS
• Maryam Ghorbani Salestani
• James Gilliland
• Susan Elizabeth Gillis, MD
• Maria Nerina Girasol, MSN, RN, AG-CNS
• Richard James Glassock, M.D.
• Jacqueline Judith Gleason, M.S.P.T.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.