Active NPI
Kousay a. Al-Kourainy, M.D.
- Clinical Medical Laboratory
- Chula Vista, CA
National Provider Identifier
1275714982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- LAB65972F
- Legal business name
- KOUSAY A. AL-KOURAINY, M.D.
- Practice address
- 480 4TH Ave
Suite 409
Chula Vista, CA 91910-4410 - Phone
- (619) 425-2080
- Fax
- (619) 425-8410
- NPI assigned
- Nov 21, 2007
- Organization subpart
- Yes
- Parent organization
- KOUSAY A. AL-KOURAINY, M.D.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzann M King
- Title
- Office Manager
- Phone
- (619) 425-2080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | LAB65972F | CA | Primary |
Addresses
Primary practice location
480 4TH Ave
Suite 409
Chula Vista, CA 91910-4410
Mailing address
480 4TH Ave
Suite 409
Chula Vista, CA 91910-4410
Phone (619) 425-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAB65972F | Other | CA | MEDI-CAL LAB |
National Provider Directory
National Provider Directory- Part of
- Kousay a Al Kourainy MD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Chula Vista, CA
- NPI 1457361271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195603200000",
"number": "1275714982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 4TH AVE",
"address_2": "SUITE 409",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104410",
"telephone_number": "619-425-2080",
"fax_number": "619-425-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 4TH AVE",
"address_2": "SUITE 409",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104410",
"telephone_number": "619-425-2080",
"fax_number": "619-425-8410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOUSAY A. AL-KOURAINY, M.D.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KOUSAY A. AL-KOURAINY, M.D.",
"enumeration_date": "2007-11-21",
"last_updated": "2007-11-21",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "SUZANN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "619-425-2080"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "LAB65972F",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL LAB",
"identifier": "LAB65972F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.