Khaldoun a Debian MD a Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A63521 Issued in CA

Legal business name

KHALDOUN A DEBIAN MD A MEDICAL CORPORATION

Practice address

17400 Irvine Blvd Ste F
Tustin, CA 92780-3030

Phone

(147) 937-9400

Fax

(714) 937-9404

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Khaldoun A Debian, MDNPI 1932168796

Title

MD

Phone

(714) 937-9400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khaldoun A Debian, M.D.

  • Gastroenterology Physician
  • Tustin, CA
  • NPI 1932168796
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1477645380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17400 IRVINE BLVD STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803030",
            "telephone_number": "714-937-9400",
            "fax_number": "714-937-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 IRVINE BLVD STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803030",
            "telephone_number": "147-937-9400",
            "fax_number": "714-937-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALDOUN A DEBIAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-04-04",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "DEBIAN",
        "authorized_official_first_name": "KHALDOUN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "714-937-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A63521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Zarina Khabibulina
• Nasrin Khajeh, D.M.D.
• David Khalili, LMFT
• Aminah Khan
• Tariq A Khan, M.D.
• Smriti Khandelwal, M. S. CCC-SLP
• Marjan Kalhori Khanjan, PSYD

• Gastroenterology Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.