Atef Khouzam, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40228 Issued in CA

Practice address

361 Hospital Rd
322
Newport Beach, CA 92663-3522

Phone

(949) 574-0777

Fax

(949) 650-3505

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: atef.khouzammd.p6@direct.nautilus.nextgenshare.com

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1023058963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3579",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598579",
            "telephone_number": "949-574-0777",
            "fax_number": "949-650-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "322",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-574-0777",
            "fax_number": "949-650-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOUZAM",
        "first_name": "ATEF",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110125134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niloufar Khorshid
• Shivani A Khosla, M.S. BCBA
• Khosrow Mahdavi, M.D., Inc
• Nesreen Khouraki, RD
• Jenni Khoury, MA
• Masoumeh M Kiahashemi, MFT
• Kiana Taba, MD, Inc.
• Aline Kidikian, NP
• Alyssa Kido
• Monica Chau Quynh Kieu, D.O.

• Family Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.