Yashar M Ghomri

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

20A11892 Issued in CA

Practice address

1100 E Broadway Ste 301
Glendale, CA 91205-1380

Phone

(310) 971-4757

Fax

(855) 795-4464

NPI assigned

Apr 4, 2010

Last updated

Dec 27, 2018By 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 3

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 Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of California, Inc

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1184663965
  Medicare reassignment NPD
• Kansal Inc

  dba Platinum Medical Group

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1043510183
  Medicare reassignment NPD
• California Pain Surgical Institute, Inc

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
  • NPI 1407442981
  NPD Authorized official
• Ghomri Health Care Inc

  dba Los Angeles Pain Insitute

  • Interventional Pain Medicine Physician
  • Glendale, CA
  • NPI 1508338765
  Authorized official Same address or phone
• Faculty Physicians and Surgeons of Llusm

  • Pediatrics Physician
  • Moreno Valley, CA
  • NPI 1073563748
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Upland, CA
  • NPI 1083863914
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Neurology Physician
  • Loma Linda, CA
  • NPI 1386694313
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1558788331
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Pediatrics Physician
  • Highland, CA
  • NPI 1689624991
  NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD

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

{
    "created_epoch": "1270339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1861717704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051380",
            "telephone_number": "310-971-4757",
            "fax_number": "855-795-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051380",
            "telephone_number": "310-971-4757",
            "fax_number": "855-795-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOMRI",
        "first_name": "YASHAR",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-04",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11892",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A11892",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A11892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GHC Caring Services Inc
• GHC Services, Inc.
• Lesly Ghiglino Duetsch, NP
• Emine Tamar Gholian
• Ghomri Health Care Inc (Los Angeles Pain Insitute)
• Mohammed Subhi Ghonim
• Madlen Ghookasi
• Majid Ghorbani, DDS
• Moushumi G Ghose, MFT
• Matthew Ghukassian, MFT

• Interventional Pain Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.