Individual provider Active NPI

Khamsy Siharath, RN.

  • Registered Nurse
  • Oceanside, CA
National Provider Identifier
1194167429
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.#545152 Issued in CA
Practice address
4451 San Joaquin St
Oceanside, CA 92057
Phone
(760) 529-5532
Fax
(760) 231-1214
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.#545152 CA Primary
Assisted Living Facility 310400000X 374601975 CA

Addresses

Primary practice location

4451 San Joaquin St
Oceanside, CA 92057

Mailing address

4451 San Joaquin St
Oceanside, CA 92057
Phone (760) 529-5532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.#545152CAMDRegistered Nurse
374601975CAMDAssisted Living Facility

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1194167429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 SAN JOAQUIN ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92057",
            "telephone_number": "760-529-5532",
            "fax_number": "760-231-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 SAN JOAQUIN ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92057",
            "telephone_number": "760-529-5532",
            "fax_number": "760-231-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIHARATH",
        "first_name": "KHAMSY",
        "name_prefix": "Mrs.",
        "credential": "RN.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN.#545152",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "374601975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.