Individual provider Active NPI

Iyad Michael Alkhouri, MD

  • Psychiatry Physician
  • Stockton, CA
National Provider Identifier
1952328940
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C152103 Issued in CA
Practice address
1805 N California St Ste 201
Stockton, CA 95204-6032
Phone
(209) 645-4005
Fax
(209) 645-6344
NPI assigned
Jul 16, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C152103 CA Primary

Addresses

Primary practice location

1805 N California St Ste 201
Stockton, CA 95204-6032

Mailing address

1805 N California St Ste 201
Stockton, CA 95204-6032
Phone (209) 645-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110504000088 IL Practitioner - Psychiatry 3678568219 Reassigns benefits to 3 organizations
I20260220002047 CA Practitioner - Psychiatry 3678568219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 Ashton Dr
Burr Ridge, IL 60527-0310

1805 N California St
Suite 201
Stockton, CA 95204-6032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C152103CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Nov 21, 2019 Accepting new patients
Touro University Medical Group Psychiatry CurrentSince Jan 6, 2026 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Nov 16, 2019 Accepting new patients
Avicenna Children Institute Psychiatry Current Accepting new patients
Central Dupage Physician Group CurrentSince Nov 21, 2019 Accepting new patients
Avicenna Children Institute LLC Addiction Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Prairie St Johns Past Accepting new patients
Patricia J Lafave P H D & Associates P C PastSince Jun 1, 2017 Accepting new patients
PSJ Acquisition LLC Psychiatry Past Accepting new patients

Locations

1805 N California St
Ste 201
Stockton, CA 95204
Phone (209) 479-3900

Dept 5777
Carol Stream, IL 60122

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

920 N York Rd
Ste 200
Hinsdale, IL 60521
Phone (630) 749-1433

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e0d732aa-1d5c-42bf-b672-8fabe3feb437/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1952328940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST STE 201",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046032",
            "telephone_number": "209-645-4005",
            "fax_number": "209-645-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST STE 201",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046032",
            "telephone_number": "209-645-4005",
            "fax_number": "209-645-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHOURI",
        "first_name": "IYAD",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C152103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.