Ghada Kassab, MD, Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A114457 Issued in CA

Legal business name

GHADA KASSAB, MD, MEDICAL CORPORATION

Practice address

4606 Mission Bay Dr
San Diego, CA 92109-4921

Phone

(858) 273-2726

Fax

(858) 273-2725

NPI assigned

May 9, 2014

Last updated

May 1, 2024By 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

Ghada Kassab, M.D.NPI 1023278504

Title

President

Phone

(858) 273-2726

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Ghada K Kassab, M.D.

  • Dermatology Physician
  • San Diego, CA
  • NPI 1023278504
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1568873727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 MISSION BAY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094921",
            "telephone_number": "858-273-2726",
            "fax_number": "858-273-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 MISSION BAY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094921",
            "telephone_number": "858-273-2726",
            "fax_number": "858-273-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHADA KASSAB, MD, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "KASSAB",
        "authorized_official_first_name": "GHADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-273-2726",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A114457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Gewer, OTR
• Cambria Geyer
• Joy A Geyman, PSYD
• Jila Ghabeljoo
• Alexandra Ghaben, MD, PHD
• Nadereh Ghaderi
• Leila Ghaemi
• Sahar Ghaemi
• Cyrus Ghaffari, MD
• Nazli Ghafouri, M.D.

• Dermatology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.