Organization Active NPI

First Care Vanguard Medical Clinic

  • Internal Medicine Physician
  • Hawaiian Gardens, CA
National Provider Identifier
1396657730
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FIRST CARE VANGUARD MEDICAL CLINIC
Practice address
22406-22408 Norwalk Blvd
Hawaiian Gardens, CA 90716
Phone
(562) 526-8014
Fax
(562) 526-8012
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Mr. Ghassan Khamiseh, M.D.
Title
Medical Director
Phone
(562) 526-8014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

22406-22408 Norwalk Blvd
Hawaiian Gardens, CA 90716

Mailing address

22406-22408 Norwalk Blvd
Hawaiian Gardens, CA 90716
Phone (562) 526-8014

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1396657730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22406-22408 NORWALK BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "90716",
            "telephone_number": "562-526-8014",
            "fax_number": "562-526-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22406-22408 NORWALK BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "90716",
            "telephone_number": "562-526-8014",
            "fax_number": "562-526-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE VANGUARD MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "KHAMISEH",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-526-8014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawaiian Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.