Organization Active NPI

Khemara Family Medical Clinic Inc.

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1639193303
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A41589 Issued in CA
Legal business name
KHEMARA FAMILY MEDICAL CLINIC INC.
Practice address
1533 Alamitos Ave
Long Beach, CA 90813-2214
Phone
(562) 218-5350
Fax
(562) 218-1630
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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
President
Phone
(562) 218-5350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC28687 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A41589 CA Primary

Addresses

Primary practice location

1533 Alamitos Ave
Long Beach, CA 90813-2214

Mailing address

1533 Alamitos Ave
Long Beach, CA 90813-2214
Phone (562) 218-5350

National Provider Directory

National Provider Directory

Locations

1533 Alamitos Ave
#B
Long Beach, CA 90813
Phone (310) 867-3493

1533 Alamitos Ave
Long Beach, CA 90813
Phone (562) 218-5350

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1639193303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 ALAMITOS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132214",
            "telephone_number": "562-218-5350",
            "fax_number": "562-218-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 ALAMITOS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132214",
            "telephone_number": "562-218-5350",
            "fax_number": "562-218-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHEMARA FAMILY MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "ASHOK",
        "authorized_official_first_name": "NAGASAMUDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-218-5350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28687",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A41589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.