Kourosh Nourisamie, MD
Individual provider Active NPI Diagnostic Radiology Physician · Long Beach, CA
NPI 1124000757 · NPPES record last updated Mar 25, 2015
Key facts
- NPI
- 1124000757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- A81741 (CA)
- Practice address
- 4241 Long Beach Blvd
Long Beach, CA 90807-2003 - Phone
- (562) 912-2507
- Fax
- (484) 918-2507
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 35
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Desert Advanced Imaging Medical Center
Beverly Radiology Medical Group III
Memorialcare Medical Foundation
Fresno Imaging Center
Cedars-Sinai Medical Care Foundation
Practice addresses (Care Compare)
1080 N Indian Canyon Dr
Suite 104
Palm Springs, CA 92262-4870
Phone (760) 322-3036
1100 N Tustin Ave
Suite a
Santa Ana, CA 92705-3509
Phone (714) 835-6055
11525 Brookshire Ave
Suite 111
Downey, CA 90241-4982
Phone (562) 904-1111
16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020
16300 Sand Canyon Ave
Suite 102
Irvine, CA 92618-3704
Phone (949) 753-0900
17762 Beach Blvd
Suite 110
Huntington Beach, CA 92647-6860
Phone (585) 218-8007
1821 W Olive Ave
Burbank, CA 91506-2435
Phone (818) 841-8880
18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444
18785 Brookhurst St
Suite 102
Fountain Valley, CA 92708-7300
Phone (714) 417-9950
230 S Main St
Orange, CA 92868-3851
231 W Fir Ave
Clovis, CA 93611-0220
Phone (559) 233-4272
23961 Calle de la Magdalena
Suite 243
Laguna Hills, CA 92653-3600
Phone (949) 272-2202
25150 Hancock Ave
Suite 105
Murrieta, CA 92562-5988
Phone (951) 412-0228
25395 Hancock Ave
Suite 110
Murrieta, CA 92562-9054
Phone (951) 696-4230
25775 McBean Pkwy
Suite 100
Valencia, CA 91355-3702
Phone (661) 255-7627
2601 W Alameda Ave
Bubank, CA 91505-4810
Phone (818) 843-7462
2679 Zoe Ave
Huntington Park, CA 90255-4144
Phone (323) 584-3333
2708 E Willow St
Signal Hill, CA 90755-2217
Phone (562) 216-5120
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1554
31565 Rancho Pueblo Rd
Suite 101
Temecula, CA 92592-4839
Phone (951) 302-2225
31775 De Portola Rd
Temecula, CA 92592-2742
Phone (951) 238-6070
3300 W Coast Hwy
Suite B
Newport Beach, CA 92663-4025
Phone (949) 726-9100
3320 N Los Coyotes Diagonal
Suite 112260
Long Beach, CA 90808-3918
Phone (562) 627-0903
3320 N Los Coyotes Diagonal
Suite 120
Long Beach, CA 90808-3936
Phone (562) 627-0903
3715 E S St
Long Beach, CA 90805-4521
Phone (562) 602-0700
Hospital & facility affiliations
- Memorialcare Long Beach Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 81.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.64
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040120000587 | CA | Practitioner - Diagnostic Radiology |
0244131340 | Reassigns benefits to 20 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81741 | CA | MD | Diagnostic Radiology Physician |
Practice roles (31 of 32)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pronet Imaging Medical Group, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Beverly Radiology Medical Group | Diagnostic Radiology | Current |
Accepting new patients |
| Diagnostic Radiological Imaging | Diagnostic Radiology | Current |
Accepting new patients |
| Modesto Advanced Diagnostic Imaging Medical Center | Diagnostic Radiology | Current |
Accepting new patients |
| Stockton Diagnostic Imaging | Diagnostic Radiology | Current |
Accepting new patients |
| Coast Radiology Imaging and Intervention Inc | Diagnostic Radiology | Current |
Accepting new patients |
| San Fernando Valley Interventional Radiology and Imaging Center | Current |
Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current |
Accepting new patients | |
| Radnet Medical Imaging-San Francisco | Diagnostic Radiology | Current |
Accepting new patients |
| Santa Rosa Imaging Medical Center | Diagnostic Radiology | Current |
Accepting new patients |
| Desert Advanced Imaging Medical Center | Diagnostic Radiology | Current |
Accepting new patients |
| First Medical Center Inc | Current |
Accepting new patients | |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current |
Accepting new patients | |
| Memorialcare Medical Foundation | Current |
Accepting new patients | |
| Fresno Imaging Center | Diagnostic Radiology | Current |
Accepting new patients |
| Valley Radiology Medical Associates, Inc. | Current |
Accepting new patients | |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current |
Accepting new patients |
| Norcal Imaging | Diagnostic Radiology | Current |
Accepting new patients |
| Norcal Imaging | Diagnostic Radiology | Current |
Accepting new patients |
| Quantum Medical Radiology of California, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Santa Ana Tustin Radiology Medical Group | Diagnostic Radiology | Past | Accepting new patients |
| Moran Rowen and Dorsey Inc | Diagnostic Radiology | Past | Accepting new patients |
| Johns Hopkins Community Physicians, Inc | Past | Accepting new patients | |
| Memrad Medical Group Inc | Past | Accepting new patients | |
| American Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Viprs, L.P. | Diagnostic Radiology | Past | Accepting new patients |
| Beverly Radiology Medical Group | Diagnostic Radiology | Past | Accepting new patients |
| Pacific Coast Cardiology Medical Group | Past | Accepting new patients |
Locations (25 of 30)
8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100
11841 South St
Cerritos, CA 90703
Phone (562) 809-8082
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707
17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200
2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234
6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200
47111 Monroe St
#1112
Indio, CA 92201
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843
340 Dardanelli Ln
Ste 11A
Los Gatos, CA 95032
Phone (408) 248-6912
27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744
157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800
1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620
72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980
Dept LA 21789
Pasadena, CA 91185
Phone (949) 364-7744
79 Scripps Dr
Ste 100
Sacramento, CA 95825
Phone (916) 921-1200
3440 California St
San Francisco, CA 94118
Phone (415) 922-6767
2581 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 358-6881
2336 Santa Monica Blvd
Ste 206
Santa Monica, CA 90404
Phone (310) 315-1000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kourosh.nourisamiemd.p105@direct.nautilus.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A81741 | CA | Yes |
Addresses
Primary practice location
4241 Long Beach Blvd
Long Beach, CA 90807-2003
Mailing address
4241 Long Beach Blvd
Long Beach, CA 90807-2003
Phone (562) 912-2507
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A817410 | Other | BLUE SHIELD | |
| 00A817410 | Medicaid | CA |
Other providers in Long Beach, CA
- Oshay Larue Norwood
- Monica Nothdurft
- Borina Nou Garcia
- Ricky Nou
- Muhammad Mahmoud Nouh
- Nourish Golden LLC
- Padra Nourparvar
- Nova Care Clinic, Inc
- Celeste R Novak
- Raia Ivanka Cimatu Novak
All providers in Long Beach, CA · Diagnostic Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.