KOUROSH KHAMOOSHIAN MD PC
KOUROSH KHAMOOSHIAN MD PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1194079632, based in La Mesa, CA. The organization lists 2 taxonomy classifications, with Community Health Clinic/Center recorded as primary.
Getting there
The practice address on file is 5565 GROSSMONT CENTER DR STE 444, La Mesa, CA 91942. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A110901 | CA | Community Health Clinic/Center primary |
This provider holds licence A110901 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7517194277
- Enrollment ID
- O20241007001051
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Community Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QC1500X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QC1500X | Community Health Clinic/Center Community Health | A110901 | CA | primary |
| 261QP2300X | Primary Care Clinic/Center Primary Care | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1194079632 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 6, 2012 |
| Last updated | Jul 1, 2025 |
| Status | Active |
| Practice address |
5565 GROSSMONT CENTER DR STE 444 La Mesa, CA 91942 (858) 373-9616 Fax (858) 373-9619 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 9 | 4 | 0 | 7 | 9 | 6 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 9 | 4 | 0 | 7 | 9 | 6 | 6 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.