BORIS KHAMISHONMD (NPI# 1487851499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487851499 |
| Entity Type | Organization |
| Organization Name | BORIS KHAMISHONMD |
| Other Organization Name | BORIS KHAMISHON,MD PROF |
| Practice Address |
6699 Alvarado Rd Ste 2301 San Diego CA 92120-5241 |
| Mailing Address |
6699 Alvarado Rd San Diego CA 92120-5238 |
| Practice Telephone | 6195822595 |
| Practice Fax Number | 6192298006 |
| Mailing Telephone | 6195822595 |
| Mailing Fax Number | 6192298006 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BORIS KHAMISHON (NEUROLOGY) |
| Authorized Official Telephone | 6195822595 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A56165 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| boris khamishon,md prof | Former Legal Business Name - Organization |
| Street Address |
6699 ALVARADO RD STE 2301 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5241 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518424829 | Tri Thuong Nguyen Md Apc | Clinic/Center | 7345 Linda Vista Rd Ste A, San Diego, CA 92111-5800 | 2019-02-22 |
| 1336643881 | Anna Halbeisen, D.o., P.C. | Clinic/Center | 3706 Ruffin Rd # 129, San Diego, CA 92123-1812 | 2018-03-20 |
| 1790140077 | Medarts Weight Loss Specialist Inc | Clinic/Center | 450 A St, Suite 400, San Diego, CA 92101-4274 | 2015-12-30 |
| 1467831891 | Work Smart Physical Therapy | Clinic/Center | 1011 Camino Del Rio S Ste 340, San Diego, CA 92108-3566 | 2015-05-18 |
| 1316183999 | Rady Children's Hospital | Clinic/Center | 200 W Arbor Dr # Mc8450, San Diego, CA 92103-9001 | 2009-01-01 |
| 1609052893 | California Institute of Plastic and Reconstructive Surgery A Med. Corp | Clinic/Center | 11515 El Camino Real Ste 150, San Diego, CA 92130-3037 | 2008-01-17 |
| 1881870566 | Institute for Specialized Medicine,inc | Clinic/Center | 4125 Sorrento Valley Blvd, Suite A & C, San Diego, CA 92121-1423 | 2008-01-13 |
| 1194809798 | Pregnancy Specialists Medical Group, Inc. | Clinic/Center | 7910 Frost St # 425, San Diego, CA 92123-2771 | 2006-10-24 |
| 1144842535 | Cherif Girgis Md, Inc | Clinic/Center | 4531 College Ave, San Diego, CA 92115-4010 | 2020-05-08 |
| 1710451166 | Team Tongue Tie, Inc. | Clinic/Center | 12625 High Bluff Dr Ste 313, San Diego, CA 92130-2054 | 2019-01-18 |
| 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.