Jason Y Khamly, M.D. Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JASON Y KHAMLY, M.D. INC

Practice address

1314 S Euclid Street
Suite 104
Anaheim, CA 92802-2079

Phone

(714) 533-7357

NPI assigned

Sep 9, 2011

Last updated

Sep 9, 2011By 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

Jason Youn-Eck Khamly, M.D.NPI 1659345940

Title

President

Phone

(714) 533-7357

Specialties & licenses 1

Addresses

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.

• Jason Youn-Eck Khamly, MD

  • Pediatrics Physician
  • Anaheim, CA
  • NPI 1659345940
  NPD (past) Authorized official

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1700168382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S EUCLID STREET",
            "address_2": "SUITE 104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S EUCLID STREET",
            "address_2": "SUITE 104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022079",
            "telephone_number": "714-533-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON Y KHAMLY, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "KHAMLY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "YOUN-ECK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-533-7357",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.