Sepehr Khonsari - a Medical Corp

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A85324 Issued in CA

Legal business name

SEPEHR KHONSARI - A MEDICAL CORP

Practice address

2260 Homet Rd
San Marino, CA 91108-1326

Phone

(949) 334-7374

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sepehr Khonsari, M.D,

Title

President

Phone

(949) 334-7374

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1366717746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 HOMET RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081326",
            "telephone_number": "949-334-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 HOMET RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081326",
            "telephone_number": "949-334-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPEHR KHONSARI - A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "KHONSARI",
        "authorized_official_first_name": "SEPEHR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-334-7374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A85324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Marino Unified School District
• Rebecca Anne-Au Sanford
• David E Sawcer, MD, PHD
• Juliana Kristin Schilling
• Danielle Schlazer, NP
• Thaddeus Peter Shafer
• Kate Rose Shantar
• Jennifer I Hsuan Shen, MD
• Tina Siu, DDS
• Megan Snyder-Grossman, M.F.T.

• Physical Medicine & Rehabilitation Physician in San Marino, CA
• Providers in San Marino, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.