Kaz Med Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KAZ MED INC.

Practice address

2565 Kendall St
La Verne, CA 91750-3713

Phone

(909) 568-8440

NPI assigned

Feb 3, 2026

Last updated

Feb 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shadi Michel Kazourra, MDNPI 1366000614

Title

President/Ceo

Phone

(909) 568-8440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shadi Kazourra, MD

  • Hospitalist Physician
  • Pasadena, CA
  • NPI 1366000614

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1487504817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 KENDALL ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503713",
            "telephone_number": "909-568-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 KENDALL ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503713",
            "telephone_number": "909-568-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZ MED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "KAZOURRA",
        "authorized_official_first_name": "SHADI",
        "authorized_official_middle_name": "MICHEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-568-8440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in La Verne, CA
• Providers in La Verne, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.