Boris Khamishon., Prof. Corp

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

BORIS KHAMISHON., PROF. CORP

Practice address

6699 Alvarado Rd
2301
San Diego, CA 92120-5238

Phone

(619) 582-2595

Fax

(619) 229-8006

NPI assigned

Dec 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Boris Khamishon, MDNPI 1104922038

Title

Neurology

Phone

(619) 582-2595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Boris Khamishon, NEUROLOGY

  • Neurology Physician
  • San Diego, CA
  • NPI 1104922038
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1659356103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 PALOMAR AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376143",
            "telephone_number": "619-582-2595",
            "fax_number": "619-229-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "address_2": "2301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205238",
            "telephone_number": "619-582-2595",
            "fax_number": "619-229-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS KHAMISHON., PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "KHAMISHON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "NEUROLOGY",
        "authorized_official_telephone_number": "619-582-2595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Borge, RN
• Dawn V Borger, L.C.S.W.
• Simon Borger, LCSW
• John Borges, LCSW
• Roxanne Carol Borges, B.A.
• Boris Khamishonmd
• Blaire Borisoff, DO
• Victoria Aide Borja Meza
• Cheryl Borja, ATC
• Kaydee Bork, PAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.