Individual provider Active NPI

Wesam G Houshan, MD

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1356467112
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13160 Issued in NV
Practice address
3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704
Phone
(714) 992-1182
Fax
(562) 803-4500
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13160 NV Primary

Addresses

Primary practice location

3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704

Mailing address

3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704-6948
Phone (714) 992-1182

Other practice location 1

2601 N Tenaya Way
Las Vegas, NV 89128-0427
Phone (702) 233-4950

Other identifiers 1

IdentifierTypeStateIssuer
LL1702OtherNVMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160926001447 CA Practitioner - Internal Medicine 0345472080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Partners California Medical PCGroup PAC ID 5799290987, 20 clinicians
GN Medical Associates, IncGroup PAC ID 5092605816, 40 clinicians

Practice addresses (Care Compare)

Costa Mesa, CA 92626
Phone (888) 789-9585

3401 W Sunflower Ave
Suite 250
Santa Ana, CA 92704-6948
Phone (714) 619-8777

Hospital & facility affiliations

  • Harbor Villa Care Center Nursing home, Anaheim, CA, CCN 055742
  • The Pavilion at Sunny Hills Nursing home, Fullerton, CA, CCN 555733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
107848CAMDMarriage & Family Therapist
13160NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC CurrentSince Feb 1, 2021 Accepting new patients
GN Medical Associates, Inc. CurrentSince Aug 9, 2016 Accepting new patients
Care Partners California Medical PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

3401 W Sunflower Ave
Ste 250
Santa Ana, CA 92704
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356467112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W SUNFLOWER AVE STE 250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046948",
            "telephone_number": "714-992-1182",
            "fax_number": "562-803-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W SUNFLOWER AVE STE 250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-992-1182",
            "fax_number": "562-803-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 N Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280427",
            "country_code": "US",
            "telephone_number": "702-233-4950",
            "fax_number": "702-382-5388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSHAN",
        "first_name": "WESAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "LL1702",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.