Organization Active NPI

Ghassan Kazmouz MD Inc

  • Interventional Cardiology Physician
  • Palm Springs, CA
National Provider Identifier
1740874528
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
GHASSAN KAZMOUZ MD INC
Practice address
1180 N Indian Canyon Dr Ste W304
Palm Springs, CA 92262-4809
Phone
(760) 320-9562
Fax
(760) 320-4226
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Ghassan Kazmouz, MDNPI 1083787980
Title
President
Phone
(760) 322-9562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr Ste W304
Palm Springs, CA 92262-4809

Mailing address

1180 N Indian Canyon Dr Ste W304
Palm Springs, CA 92262-4809
Phone (760) 320-9562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422001154 CA Part B Supplier - Clinic/Group Practice 5799193298 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1740874528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE W304",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624809",
            "telephone_number": "760-320-9562",
            "fax_number": "760-320-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE W304",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624809",
            "telephone_number": "760-320-9562",
            "fax_number": "760-320-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHASSAN KAZMOUZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "KAZMOUZ",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-322-9562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.