Kourosh Khamooshian MD PC
NPI 1194079632 · Community Health Clinic/Center · La Mesa, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kourosh Khamooshian MD PC is a Community Health Clinic/Center organization in La Mesa, CA (NPI 1194079632).
Provider details
- NPI number
- 1194079632
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kourosh Khamooshian, Owner / Ceo(858) 373-9616
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-11-06
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Frequently asked questions
- What is Kourosh Khamooshian MD PC's NPI number?
- Kourosh Khamooshian MD PC's National Provider Identifier (NPI) is 1194079632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kourosh Khamooshian MD PC?
- Kourosh Khamooshian MD PC is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kourosh Khamooshian MD PC located?
- Kourosh Khamooshian MD PC's practice location on file with NPPES is 5565 Grossmont Center Dr Ste 444, La Mesa, CA 91942-3020.
- What is Kourosh Khamooshian MD PC's phone number?
- The practice phone number listed in the NPPES registry for Kourosh Khamooshian MD PC is (858) 373-9616.
- Does Kourosh Khamooshian MD PC accept Medicare?
- Kourosh Khamooshian MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kourosh Khamooshian MD PC?
- The authorized official listed on Kourosh Khamooshian MD PC's NPPES record is Kourosh Khamooshian, Owner / Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kourosh Khamooshian MD PC's NPI active?
- Yes — Kourosh Khamooshian MD PC's NPI (1194079632) is active in the NPPES registry as of the last update on 2025-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.