Active NPI
Piruz Bruce Khorvash, MD
- Pediatrics Physician
- Carlsbad, CA
National Provider Identifier
1871542985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A26424
- Practice address
- 7624 Reposado Dr
Carlsbad, CA 92009-7928 - Phone
- (760) 942-9950
- Fax
- (760) 942-9950
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 05D0856205 | CA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 05D085620 | CA | |
| Pediatrics Physician | 208000000X | A26424 | CA | Primary |
| Pediatric Adolescent Medicine Physician | 2080A0000X | A26424 | CA |
Addresses
Primary practice location
7624 Reposado Dr
Carlsbad, CA 92009-7928
Mailing address
7624 Reposado Dr.
Carlsbad, CA 92009-7928
Phone (760) 942-9950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05170360080 | Other | MEDICAL EDUCATION # | |
| 00A2642408 | Medicaid | CA |
Other names 1
- Pirooz Bruce Khorvash
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05D0856205 | CA | MD | Pediatrics Physician |
| 05D085620 | CA | MD | Pediatric Adolescent Medicine Physician |
| A26424 | CA | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1871542985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7624 REPOSADO DR.",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920097928",
"telephone_number": "760-942-9950",
"fax_number": "760-942-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7624 REPOSADO DR",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920097928",
"telephone_number": "760-942-9950",
"fax_number": "760-942-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHORVASH",
"first_name": "PIRUZ",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "05D0856205",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "05D085620",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A26424",
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "A26424",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EDUCATION #",
"identifier": "05170360080",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A2642408",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PIROOZ",
"last_name": "KHORVASH",
"middle_name": "BRUCE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.