Kourosh Khamooshian MD PC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

A110901 Issued in CA

Legal business name

KOUROSH KHAMOOSHIAN MD PC

Practice address

5565 Grossmont Center Dr Ste 444
La Mesa, CA 91942-3020

Phone

(858) 373-9616

Fax

(858) 373-9619

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kourosh Khamooshian, MDNPI 1659523975

Title

Owner / Ceo

Phone

(858) 373-9616

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kourosh Khamooshian, MD

  • Internal Medicine Physician
  • La Mesa, CA
  • NPI 1659523975
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1194079632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 444",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "858-373-9616",
            "fax_number": "858-373-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 444",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "858-373-9616",
            "fax_number": "858-373-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROSH KHAMOOSHIAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "KHAMOOSHIAN",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "858-373-9616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "A110901",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Peter Koumjian, MD
• James J Kozak, D.D.S.
• Kpap Inc
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• Kaily Kraemer, PTA
• Sheldon Z Kramer, PHD

• Community Health Clinic/Center in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.