Benjamin J. Kavoossi MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A94166 Issued in CA

Legal business name

BENJAMIN J. KAVOOSSI MD INC

Practice address

2720 N Garey Ave
Pomona, CA 91767-1810

Phone

(909) 593-6222

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Benjamin J. Kavoossi, M.D.

Title

President

Phone

(909) 985-2112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1295058907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917110148",
            "telephone_number": "909-985-2112",
            "fax_number": "909-985-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671810",
            "telephone_number": "909-593-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN J. KAVOOSSI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "KAVOOSSI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-985-2112",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A94166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Benavides
• Vanessa Reann Benavides
• Scott Bendure
• Christina Tsao Benedict, M.D.
• Evelyn Benitez
• Roye Benmenahem
• Diamond Tyler Nanisa Bennett
• Danielle Bensamochan
• Ernest Bentum, NP
• Ashley Berberian

• Anesthesiology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.