Kamal Kali Hossain, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40662 Issued in CA

Practice address

23080 Alessandro Blvd
Ste 202
Moreno Valley, CA 92553-9674

Phone

(951) 688-3001

Fax

(951) 688-3022

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kamal Ruby Kali Hossain Other name

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 Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Rancho Physicians Choice a Medical Corporation

  • Family Medicine Physician
  • Ontario, CA
  • NPI 1326579525
  Medicare reassignment NPD
• Arlington Physicians Choice a Medical Corporation

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1861796161
  NPD Authorized official
• Mohammad Hossain MD Inc.

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1811252844
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1982715843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23080 ALESSANDRO BLVD",
            "address_2": "STE 202",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539674",
            "telephone_number": "951-697-7866",
            "fax_number": "951-697-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23080 ALESSANDRO BLVD",
            "address_2": "STE 202",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539674",
            "telephone_number": "951-688-3001",
            "fax_number": "951-688-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "KAMAL",
        "middle_name": "KALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A406620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMAL",
            "last_name": "HOSSAIN",
            "middle_name": "RUBY KALI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Isuzu Fujita Hopper, MFT
• Donna Edwina Horne
• Susan Ruth Horowitz, M.D.
• Hoss Keri MV Dental Group, a Professional Corporation
• Hoss MV Dental Group, a Professional Corporation
• Allen Houn, PHARM. D
• Hourglass Optometry, Inc.
• Housing Advocates
• Ernest Gregory Hovivian Jr., MFT
• Brytiny Howard

• Family Medicine Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.