Organization Active NPI

Kousay a. Al-Kourainy, M.D.

  • Clinical Medical Laboratory
  • Chula Vista, CA
National Provider Identifier
1275714982
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
LAB65972F Issued in CA
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LAB65972FOtherCAMEDI-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.

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.

Verify at the official NPI Registry.