BORIS KHAMISHON (NPI# 1104922038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104922038 |
| Entity Type | Individual |
| Full Name | BORIS KHAMISHON |
| Credential | NEUROLOGY |
| Practice Address |
6699 Alvarado Rd #2301 San Diego CA 92120-5238 |
| Mailing Address |
1011 Sapphire St San Diego CA 92109-1848 |
| Practice Telephone | 6195822595 |
| Practice Fax Number | 6192298006 |
| Mailing Telephone | 6195822595 |
| Mailing Fax Number | 6192298006 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A56165 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6699 ALVARADO RD #2301 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768327 | Theodore M. Mazer | Otolaryngology | 6699 Alvarado Rd, Ste 2209, San Diego, CA 92120-5240 | 2005-05-24 |
| 1144777590 | Oleg M. Gavrilyuk, M.d., PC | Physical Medicine & Rehabilitation | 6699 Alvarado Rd, #2302, San Diego, CA 92120-5244 | 2016-09-01 |
| 1790179539 | Regents of The University of California | Family Medicine | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2015-03-18 |
| 1013356005 | Joseph Vincent Mahon | Physical Therapist | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2013-06-23 |
| 1225384308 | Ashley Deppe | Dietitian, Registered | 6699 Alvarado Rd, 2100, San Diego, CA 92120-5244 | 2012-07-26 |
| 1770850406 | Institute of Healthcare Assessment, Inc. | Specialist | 6699 Alvarado Rd, Suite 2309, San Diego, CA 92120-5238 | 2011-11-23 |
| 1386922904 | Alexandra Reed Myers | Family Medicine | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2011-07-31 |
| 1114222155 | Sumana & Ananthram Reddy Md Inc | Allergy & Immunology | 6699 Alvarado Rd, Suite 2301, San Diego, CA 92120-5238 | 2011-01-24 |
| 1750615324 | Sperm Bank, Inc | Clinical Medical Laboratory | 6699 Alvarado Rd, Ste 2208, San Diego, CA 92120-5238 | 2009-09-29 |
| 1902051311 | Bernard J. Urlaub, Md, Inc | Surgery | 6699 Alvarado Rd, Ste. 2210, San Diego, CA 92120-5238 | 2008-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451263 | Kimberly M. Sandberg, Rn, Cran, A Professional Corporation | Psychiatry & Neurology | 4520 Executive Dr Ste 227, San Diego, CA 92121-3020 | 2019-08-05 |
| 1992261374 | Del Mar Brain & Neurostar Tms Inc. | Psychiatry & Neurology | 12264 El Camino Real Ste 202, San Diego, CA 92130-3061 | 2019-02-11 |
| 1225579006 | Lg Aguilar Tabora, Md Inc | Psychiatry & Neurology | 8650 Genessee Ave. Ste 214, #8684, San Diego, CA 92192-8684 | 2017-03-14 |
| 1851725600 | Calneuros, A Professional Medical Corporation | Psychiatry & Neurology | 16766 Bernardo Center Dr Ste 213, San Diego, CA 92128 | 2013-08-29 |
| 1396010856 | Bertrand Liang | Psychiatry & Neurology | 10357 Longdale Pl, San Diego, CA 92131-6126 | 2012-03-16 |
| 1548530157 | Richard Irwin Rowen | Psychiatry & Neurology | 5482 Drover Dr, San Diego, CA 92115-1127 | 2012-01-12 |
| 1457583825 | Leonard J. Gosink | Psychiatry & Neurology | 2403 Romney Rd, San Diego, CA 92109-1559 | 2009-08-18 |
| 1205068210 | David J Croteau | Psychiatry & Neurology | 150 W Washington St Fl 2, San Diego, CA 92103-2005 | 2009-08-10 |
| 1326290339 | Monali Sarjan Patel | Psychiatry & Neurology | 7625 Mesa College Dr Ste 200a, San Diego, CA 92111-5343 | 2008-10-21 |
| 1215188701 | Brenton Alan Wright | Psychiatry & Neurology | 4510 Executive Dr Ste 325, San Diego, CA 92121-3069 | 2008-10-02 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.