Organization Active NPI

Khemara Medical Group Inc

  • Specialist
  • Long Beach, CA
National Provider Identifier
1013135201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G79550 Issued in CA
Legal business name
KHEMARA MEDICAL GROUP INC
Practice address
1533 Alamitos Ave Ste B
Long Beach, CA 90813-2214
Phone
(562) 218-5350
Fax
(562) 218-1630
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kittya Paigne, MD
Title
President
Phone
(562) 218-5350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G79550 CA Primary

Addresses

Primary practice location

1533 Alamitos Ave Ste B
Long Beach, CA 90813-2214

Mailing address

1533 Alamitos Ave Ste B
Long Beach, CA 90813-2214
Phone (562) 218-5350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013135201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 ALAMITOS AVE STE B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132214",
            "telephone_number": "562-218-5350",
            "fax_number": "562-218-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 ALAMITOS AVE STE B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132214",
            "telephone_number": "562-218-5350",
            "fax_number": "562-218-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHEMARA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAIGNE",
        "authorized_official_first_name": "KITTYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-218-5350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G79550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.