Behnam Kachouei, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A17361 Issued in CA

Practice address

555 E Tachevah Dr Ste 2E204
Palm Springs, CA 92262-5737

Phone

(760) 561-7344

NPI assigned

May 12, 2015

Last updated

Apr 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric MedicineAlso: Family Practice

Education

Touro Un College of Osteopathic Medicine, Vallejo, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fountain Valley Group Services PCGroup PAC ID 9931427382, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: behnam.kachouei.1@14035.direct.athenahealth.com
• Direct secure messaging: behnam.kachouei.1@17575.direct.athenahealth.com
• Direct secure messaging: bkachouei1242241@direct.llu.edu
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fountain Valley Group Services PC

  • Hospitalist Physician
  • Indio, CA
  • NPI 1013310309
  Medicare reassignment Care Compare group NPD
• Silicon Valley Medical Clinic, Inc.

  dba Silicon Valley Medical Clinic

  • Family Medicine Physician
  • Milpitas, CA
  • NPI 1205280526
  Medicare reassignment NPD
• Family Medicine Online

  • Family Medicine Physician
  • Milpitas, CA
  • NPI 1992411946
  NPD
• Fountain Valley Group Services PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Indio, CA
  • NPI 1194670349
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• JFK Memorial Hospital, Inc.

  dba John F. Kennedy Memorial Hospital

  • General Acute Care Hospital
  • Indio, CA
  • NPI 1477584993
  Care Compare affiliation

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1518345453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 E TAM O SHANTER ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917616455",
            "telephone_number": "909-638-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 2E204",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625737",
            "telephone_number": "760-561-7344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 S Park Victoria Dr",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950356942",
            "country_code": "US",
            "telephone_number": "408-945-0300",
            "fax_number": "408-946-7533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 N Pacific Coast Hwy Ste 2175",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902455639",
            "country_code": "US",
            "telephone_number": "877-878-3289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACHOUEI",
        "first_name": "BEHNAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A17361",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17361",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A17361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge G. Gutierrez, M.D. a Medical Corporation
• Jay E. Jorgensen, DDS
• JRP Counseling Licensed Clinical Social Worker Professional
• William Juarez
• Tommy J Jung
• Leena Kaddo
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #869)
• Leonard M Kalfuss, MD
• David B. Kaminsky, M.D.
• Dennis H Kan, DNP, FNP-C, AAHIVS

• Family Medicine Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.