NPIMap

Organization Active NPI

Sherif Khamis MD Inc

  • Pediatrics Physician
  • Canoga Park, CA
National Provider Identifier
1225302789
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A43374 Issued in CA
Legal business name
SHERIF KHAMIS MD INC
Practice address
7257 Owensmouth Ave
Suite a
Canoga Park, CA 91303-1530
Phone
(818) 347-0065
Fax
(818) 587-3687
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Sherif KhamisNPI 1467476598
Title
Ceo
Phone
(818) 347-0065

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A43374 CA Primary

Addresses

Primary practice location

7257 Owensmouth Ave
Suite a
Canoga Park, CA 91303-1530

Mailing address

7257 Owensmouth Ave
Suite a
Canoga Park, CA 91303-1530
Phone (818) 347-0065

Other identifiers 1

IdentifierTypeStateIssuer
00A433740MedicaidCA

National Provider Directory

National Provider Directory

Locations

7257 Owensmouth Ave
Ste A
Canoga Park, CA 91303
Phone (818) 347-0065

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": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1225302789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 OWENSMOUTH AVE",
            "address_2": "SUITE A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031530",
            "telephone_number": "818-347-0065",
            "fax_number": "818-587-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 OWENSMOUTH AVE",
            "address_2": "SUITE A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031530",
            "telephone_number": "818-347-0065",
            "fax_number": "818-587-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIF KHAMIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "KHAMIS",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-347-0065",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A43374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A433740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.