Nabil Horacio Khoury, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A31583 Issued in CA

Practice address

14906 Paramount Blvd
Paramount, CA 90723-3409

Phone

(562) 630-1991

Fax

(562) 630-0145

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

• Medical Group of Paramount, Inc.

  • Obstetrics & Gynecology Physician
  • Paramount, CA
  • NPI 1972563617

  CA, General Practice

  Medicare reassignment NPD Authorized official
• Altamed Health Services Corporation

  • Community/Retail Pharmacy
  • Huntington Beach, CA
  • NPI 1306726419
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720007289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14906 PARAMOUNT BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907233409",
            "telephone_number": "562-630-1991",
            "fax_number": "562-630-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14906 PARAMOUNT BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907233409",
            "telephone_number": "562-630-1991",
            "fax_number": "562-630-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "NABIL",
        "middle_name": "HORACIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A31583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A315830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makeda Roshun Kayode, REGISTERED NURSE
• Kenneth Tran Dental Corp
• Khang Vu Vu Paramount Dental Group
• Yintat William Kho, PHARM D.
• Maribel P. Khoury, M.D.
• Shirien Kiani
• John Wanyoike Kimani
• KND Development 59 , LLC
• KND Real Estate 40, LLC
• KND Real Estate 40, LLC

• All providers in Paramount, CA
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.