Individual provider Active NPI

Kia Ghiassi, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Laguna Hills, CA
National Provider Identifier
1861887077
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
20A15558 Issued in CA
Practice address
24422 Avenida de la Carlota Ste 275
Laguna Hills, CA 92653-3669
Phone
(949) 354-3672
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 20A15558 CA Primary

Addresses

Primary practice location

24422 Avenida de la Carlota Ste 275
Laguna Hills, CA 92653-3669

Mailing address

24422 Avenida de la Carlota Ste 275
Laguna Hills, CA 92653-3669
Phone (949) 354-3672

Other practice location 1

1000 Fivepoint
Irvine, CA 92618-2377
Phone (949) 671-4673

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210610001550 CA Practitioner - Critical Care (Intensivists)Practitioner - Neurology 6103226261 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Critical Care and Pulmonary Specialists IncGroup PAC ID 7113289539, 10 clinicians

Practice addresses (Care Compare)

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 771-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

Merit-based Incentive Payment System (MIPS)

Final score
73.59 of 100Reported as group
Quality
52.13
Improvement activities
40
Cost
66.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A15558CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El-Bershawi Medical Corp Critical Care Medicine CurrentSince Aug 1, 2021 Accepting new patients
City of Hope Medical Foundation CurrentSince Jun 6, 2023 Accepting new patients
Pacific Professional Surgical Group Inc Past Accepting new patients

Locations

1000 Fivepoint
Irvine, CA 92618
Phone (888) 333-4673

4 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 679-6874

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Interoperability endpoints

  • Direct secure messaging: kghiassi168658@cityofhope.direct-ci.com
  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1861887077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 275",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533669",
            "telephone_number": "949-354-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 275",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533669",
            "telephone_number": "949-354-3672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Fivepoint",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926182377",
            "country_code": "US",
            "telephone_number": "949-671-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHIASSI",
        "first_name": "KIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "20A15558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Fivepoint",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926182377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.