Khalid Rabia Hassan Al Shamousi, MD, FRCPC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

164313 Issued in CA

Practice address

8730 Alden Dr
Los Angeles, CA 90048

Phone

(310) 423-8056

NPI assigned

Aug 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1386299972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S WILLAMAN DR APT 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483930",
            "telephone_number": "424-249-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 ALDEN DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-423-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL SHAMOUSI",
        "first_name": "KHALID",
        "middle_name": "RABIA HASSAN",
        "credential": "MD, FRCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "164313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "khalid.alshamousi@cshs.org",
            "affiliation": "N",
            "endpointDescription": "cedars sinai email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cedars sinai email",
            "address_1": "8730 Alden Dr",
            "city": "LOS ANGELES",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alsadiq Waleed Mohammad Al Hillan
• Shahed Al Khalifah, BDS, MS
• Ahmad Mousabakhit Al Manasir, DDS
• Zainab Majid Al Obaidi, MD
• Mariam Alaa Al Shakarchi
• Yousef Al Srouji, RPH
• Mohamed Al Thahabi
• Lamis Al-Ahmad, M.D.
• Yusra Al-Alawi
• Asmaa Al-Ani

• Gastroenterology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.