Ghassan Khamiseh, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A60718 Issued in CA

Practice address

2800 Pacific Ave Ste D
Long Beach, CA 90806-1468

Phone

(562) 337-8401

NPI assigned

Apr 6, 2007

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ultimate Health Medical Services LLC., a California Liability Company

  • Clinical & Laboratory Immunology (Internal Medicine) Physician
  • Long Beach, CA
  • NPI 1396260063
  Medicare reassignment NPD
• Randall Foot and Ankle Surgery Inc

  • Foot & Ankle Surgery Podiatrist
  • Long Beach, CA
  • NPI 1780268631
  NPD
• Jason K Boutros M D Inc

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1053532580
  NPD (past)
• Kronos Cardia Medical Group, Inc

  • Cardiovascular Disease Physician
  • Torrance, CA
  • NPI 1972541480
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1710009808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PACIFIC AVE STE D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061468",
            "telephone_number": "562-337-8401",
            "fax_number": "562-337-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PACIFIC AVE STE D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061468",
            "telephone_number": "562-337-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMISEH",
        "first_name": "GHASSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60718",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A060718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ton Kha
• Wisam Khader, D.O.
• Ahmad Sadoon Khalifa, M.D.
• Kholoud Khalil
• Aarti Ashwyn Khambhaita
• Abdull Bilal Khan
• Ahmed Khan, DO
• Ellexis Khan, M.D.
• Haymish Khan, PHARMD
• Mazhar Ulhaq Khan, M.D.

• Internal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.