Individual provider Active NPI

Ghassan Mohsen

  • Cardiovascular Disease Physician
  • Ridgecrest, CA
National Provider Identifier
1356579783
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A137201 Issued in CA
Practice address
1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone
(314) 443-6483
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 137201 CA
Internal Medicine Physician 207R00000X 278017 NY
Internal Medicine Physician 207R00000X 205208 LA
Cardiovascular Disease Physician 207RC0000X 278017 NY
Cardiovascular Disease Physician 207RC0000X 137201 CA
Cardiovascular Disease Physician 207RC0000X 205208 LA
Cardiovascular Disease Physician 207RC0000X A137201 CA Primary

Addresses

Primary practice location

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130

Mailing address

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 499-3855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ghassanmohsen@rrh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NY, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150401000665 LA Practitioner - Internal Medicine 5698092666 Reassigns benefits to 1 organization
I20150820010351 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698092666 Reassigns benefits to 2 organizations
I20160216002831 CA Practitioner - Cardiovascular Disease (Cardiology) 5698092666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Saint Louis University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, 94 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

1011 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 446-6404

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 499-3899

1111 N China Lake Blvd
Ridgecrest, CA 93555-3131
Phone (760) 499-3855

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

Hospital & facility affiliations

  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205208LAMDInternal Medicine Physician
A137201CAMDCardiovascular Disease Physician
278017NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital CurrentSince Feb 1, 2016 Accepting new patients
New York University Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
New York University Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Feb 1, 2015 Accepting new patients
Ochsner Clinic Foundation Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1111 N China Lake Blvd
#190
Ridgecrest, CA 93555
Phone (760) 499-3855

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Interoperability endpoints

  • Direct secure messaging: ghassanmohsen@rrh.medalliesdirect.net

Organizations & group practices 8

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 3

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1356579783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "760-499-3855",
            "fax_number": "760-499-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "314-443-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHSEN",
        "first_name": "GHASSAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "137201",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "278017",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "205208",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "278017",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "137201",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "205208",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A137201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghassanmohsen@rrh.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "RRH Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1081 N China Lake Blvd",
            "city": "Ridgecrest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935553130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.