Boris Khamishonmd

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A56165 Issued in CA

Legal business name

BORIS KHAMISHONMD

Practice address

6699 Alvarado Rd Ste 2301
San Diego, CA 92120-5241

Phone

(619) 582-2595

Fax

(619) 229-8006

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Boris Khamishon, MDNPI 1104922038

Title

Neurology

Phone

(619) 582-2595

Specialties & licenses 1

Addresses

Other names 1

• boris khamishon,md prof Former legal business name

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.

• Boris Khamishon, NEUROLOGY

  • Neurology Physician
  • San Diego, CA
  • NPI 1104922038
  NPD (past) Authorized official

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487851499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205238",
            "telephone_number": "619-582-2595",
            "fax_number": "619-229-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD STE 2301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205241",
            "telephone_number": "619-582-2595",
            "fax_number": "619-229-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS KHAMISHONMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAMISHON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "NEUROLOGY",
        "authorized_official_telephone_number": "619-582-2595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A56165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "boris khamishon,md prof",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dawn V Borger, L.C.S.W.
• Simon Borger, LCSW
• John Borges, LCSW
• Roxanne Carol Borges, B.A.
• Boris Khamishon., Prof. Corp
• Blaire Borisoff, DO
• Victoria Aide Borja Meza
• Cheryl Borja, ATC
• Kaydee Bork, PAC
• Madeline Borkenhagen, LCSW

• Medical Specialty Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.