Individual provider Active NPI

Kay Hooshmand, DO

  • General Practice Physician
  • Playa Vista, CA
National Provider Identifier
1568624997
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A11270 Issued in CA
Practice address
6020 Seabluff Dr
#1
Playa Vista, CA 90094-2252
Phone
(310) 862-0400
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 20A11270 CA Primary

Addresses

Primary practice location

6020 Seabluff Dr
#1
Playa Vista, CA 90094-2252

Mailing address

605 S Barrington Ave
#14
Los Angeles, CA 90049-4429
Phone (310) 310-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11270CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1568624997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S BARRINGTON AVE",
            "address_2": "#14",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494429",
            "telephone_number": "310-310-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 SEABLUFF DR",
            "address_2": "#1",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942252",
            "telephone_number": "310-862-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOSHMAND",
        "first_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A11270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.