Ghassan K Roumani, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

AO31429 Issued in CA

Practice address

2110 S Oak Knoll Ave
San Marino, CA 91108-1760

Phone

(626) 441-0085

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1184888737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 S OAK KNOLL AVE",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081760",
            "telephone_number": "626-441-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 S OAK KNOLL AVE",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081760",
            "telephone_number": "626-441-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUMANI",
        "first_name": "GHASSAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "AO31429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiological Associates Medical Group, Inc
• Radiological Associates Medical Group, Inc
• Regency Therapy Resources
• David D. Richardson, M.D.
• Robert a. Mecum, M.D., Inc.
• Tayina Ruiz
• Erica Salzman, LEP
• San Marino Home Health Inc
• San Marino Pediatric Associates
• San Marino Psychiatric Associates, Inc.

• Urology Physician in San Marino, CA
• Providers in San Marino, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.