Organization Active NPI

Allurant

Doing business as Allurant Medical Spa

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1134946213
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLURANT
Doing business as
Allurant Medical Spa
Practice address
3860 Valley Centre Dr Ste 407
San Diego, CA 92130-3312
Phone
(858) 602-9000
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Katayoun Khorrami, MDNPI 1932539699
Title
Owner
Phone
(858) 602-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3860 Valley Centre Dr Ste 407
San Diego, CA 92130-3312

Mailing address

3860 Valley Centre Dr Ste 407
San Diego, CA 92130-3312
Phone (858) 602-9000

Other names 1

  • ALLURANT MEDICAL SPA Doing business as

National Provider Directory

National Provider Directory

Locations

3860 Valley Centre Dr
Ste 407
San Diego, CA 92130
Phone (858) 602-9000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1134946213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 VALLEY CENTRE DR STE 407",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303312",
            "telephone_number": "858-602-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 VALLEY CENTRE DR STE 407",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303312",
            "telephone_number": "858-602-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "KHORRAMI",
        "authorized_official_first_name": "KATAYOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-602-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLURANT MEDICAL SPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.