Kenneth K Gheysar (NPI# 1609992171, PAC ID# 5092990036) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADDICTION MEDICINE.
| Nation Provider ID (NPI) | 1609992171 |
| PAC ID by PECOS | 5092990036 |
| Professional Enrollment ID | I20110506000188 |
| Full Name | Kenneth K Gheysar |
| Address |
23046 Avenida De La Carlota Suite 611 Laguna Hills CA 92653-1548 |
| Phone Number | 9495885797 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | ADDICTION MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 23046 Avenida De La Carlota, Suite 611, Laguna Hills, CA 92653-1548 | 9495885797 |
| Street Address |
23046 AVENIDA DE LA CARLOTA SUITE 611 |
| City | LAGUNA HILLS |
| State | CA |
| Zip | 92653-1548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Mitolo | Psychologist, Clinical | 23046 Avenida De La Carlota, Suite 600, Laguna Hills, CA 92653-1537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C. Chang | Anesthesiology | West Coast Anesthesia of Pacific Hills | 24022 La Plata, Suite 180, Laguna Hills, CA 92653 |
| David G Woodward | Anesthesiology | West Coast Anesthesia of Pacific Hills | 24022 La Plata, Suite 180, Laguna Hills, CA 92653 |
| Jose D Fojas | Physical Therapy | Rehab Alliance | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 |
| Brooke Varon | Physical Therapy | Rehab Alliance | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 |
| Wendy U Tran | Optometry | 22972 Moulton Pkwy, Suite 104, Laguna Hills, CA 92653-1219 | |
| Sam Pourbabak | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Monica M Harms | General Practice | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Yaseen Kady | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Jill E Jones | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Sam Nosrati | Podiatry | Artisan Foot and Ankle Podiatric Specialists Inc | 23141 Moulton Pkwy, Suite 109, Laguna Woods, CA 92653-1241 |
| Find all physicians in zip 92653 | |||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
| Specialty | ADDICTION MEDICINE |
| City + Specialty | LAGUNA HILLS + ADDICTION MEDICINE |
Please comment or provide details below to improve the information on Kenneth K Gheysar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.