Koushan Siami M.D., Apc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

KOUSHAN SIAMI M.D., APC

Practice address

47120 Dune Palms Rd Ste 109
La Quinta, CA 92253-2097

Phone

(760) 864-4163

NPI assigned

Jan 12, 2024

Organization subpart

No

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

Authorized official

Name

Koushan Siami Namini, MDNPI 1144253774

Title

Owner

Phone

(760) 864-4163

Specialties & licenses 1

Addresses

Other names 2

• KOUSHAN SIAMI M D APC Former legal business name
• Koushan Siami Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Koushan Siami-Namini, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Mirage, CA
  • NPI 1144253774
  Authorized official Same address or phone
• Homan Abdollahzadeh, MD

  • Gastroenterology Physician
  • Palm Springs, CA
  • NPI 1184634826
  NPD (past)
• Vijay P. Agarwal, M.D.

  • Gastroenterology Physician
  • Palm Springs, CA
  • NPI 1609964154
  NPD (past)
• Matthew John Elliott, PA-C

  • Physician Assistant
  • Palm Springs, CA
  • NPI 1497244792
  NPD (past)

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1124899661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47120 DUNE PALMS RD STE 109",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532097",
            "telephone_number": "760-864-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUSHAN SIAMI M.D., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "SIAMI NAMINI",
        "authorized_official_first_name": "KOUSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-864-4163",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOUSHAN SIAMI M D APC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Koushan Siami",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Duane Knight, D.C.
• George Henry Koenig, M.D.
• Stephanie D Kolsrud, RDN
• Kondovski Medical Group
• Alexander Korn, M.D.
• Thomas James Krisko, PTA
• Kristen Bohnet, DC, Lac, Acupuncture Corporation (Bohnet Acupuncture and Chiropractic)
• Debra J Kuracina, M.D.
• La Quinta Care
• La Quinta Ear Nose & Throat, Inc.

• Anatomic Pathology & Clinical Pathology Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.