Khemara Family Medical Clinic Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A41589 Issued in CA

Legal business name

KHEMARA FAMILY MEDICAL CLINIC INC.

Practice address

440 Redondo Ave Ste 201
Long Beach, CA 90814-5145

Phone

(562) 439-3803

Fax

(866) 593-7781

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nagasamudra S. Ashok, M.D.

Title

Sole Proprietor

Phone

(562) 439-3803

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Kim Edward Nissen, M.A,

  • Massage Therapist
  • Long Beach, CA
  • NPI 1861618027
  NPD (past)

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1508296146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 REDONDO AVE STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908145145",
            "telephone_number": "562-439-3803",
            "fax_number": "866-593-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 REDONDO AVE STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908145145",
            "telephone_number": "562-439-3803",
            "fax_number": "866-593-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHEMARA FAMILY MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "ASHOK",
        "authorized_official_first_name": "NAGASAMUDRA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "562-439-3803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A41589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A41589",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQA PROVIDER ENROLLMENT",
            "identifier": "10940873",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "ZZZ58486Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie J Khawam, DPM
• Anet Khechoumian, LMFT
• Bampenh Bob Khek
• Chamnaneth Khem, RN, PHN
• May Khem
• Khemara Family Medical Clinic Inc.
• Khemara Medical Group Inc
• Gurcharan Singh Khera, M.D.
• Sandra Khim-Pamanian
• Savada Khodaverdi, MD

• General Practice Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.