Organization Active NPI

Kourosh Khamooshian MD, PC

  • General Acute Care Hospital
  • Escondido, CA
National Provider Identifier
1770725897
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A110901 Issued in CA
Legal business name
KOUROSH KHAMOOSHIAN MD, PC
Practice address
555 E Valley Pkwy
Escondido, CA 92025-3048
Phone
(760) 739-3000
NPI assigned
Apr 3, 2009
Last updated
Sep 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Kourosh Khamooshian, M.D.NPI 1659523975
Title
Internal Medicine Attending
Phone
(858) 603-6576

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
General Acute Care Hospital 282N00000X A110901 CA Primary

Addresses

Primary practice location

555 E Valley Pkwy
Escondido, CA 92025-3048

Mailing address

14677 Via Bettona
Suite 110, PMB 136
San Diego, CA 92127-4809
Phone (858) 367-8601

Other identifiers 1

IdentifierTypeStateIssuer
D4794OtherCARESIDENCY NUMBER

National Provider Directory

National Provider Directory

Locations

14677 Via Bettona
Ste 110
San Diego, CA 92127

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1770725897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14677 VIA BETTONA",
            "address_2": "SUITE 110, PMB 136",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274809",
            "telephone_number": "858-367-8601",
            "fax_number": "858-408-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253048",
            "telephone_number": "760-739-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROSH KHAMOOSHIAN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "KHAMOOSHIAN",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "INTERNAL  MEDICINE ATTENDING",
        "authorized_official_telephone_number": "858-603-6576",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A110901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENCY NUMBER",
            "identifier": "D4794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.