Kourosh Khamooshian


Address: 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019

Kourosh Khamooshian (NPI# 1659523975, PAC ID# 9133253958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1659523975
PAC ID by PECOS 9133253958
Professional Enrollment ID I20130502000050
Full Name Kourosh Khamooshian
Address 5555 Grossmont Ctr Dr
La Mesa
CA 91942-3019
Gender M
Graduation Year 1998
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050573 EISENHOWER MEDICAL CENTER
050757 ALVARADO HOSPITAL MEDICAL CENTER

Other Locations

Address Phone Organization
5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019
39000 Bob Hope Dr, Suite P311, Rancho Mirage, CA 92270-7010 7605683563 EISENHOWER MEDICAL CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 86%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 86%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 86%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 86%

Organization Information

Office Location

Street Address 5555 GROSSMONT CTR DR
City LA MESA
State CA
Zip 91942-3019

Physicians in the same location

Name Specialty Organization Address
Alan R Mortezaie Diagnostic Radiology X-ray Medical Group Inc 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019
Mary Samantha Jones Emergency Medicine Team Physicians of Northern California Medical Group Inc 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019
Paul Y Abou Internal Medicine 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019
Krauz K Ganadjian Psychiatry 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019
Ahmad Kabakibi Internal Medicine 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3077
Lori A Coleman Radiation Oncology X-ray Medical Group Radiation Oncology Inc 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019
Todd A Baumbacher Emergency Medicine Team Physicians of Northern California Medical Group Inc 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019
Michael H Hight Emergency Medicine Team Physicians of Northern California Medical Group Inc 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019
Leila S Bolandgray Internal Medicine 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019
Jeffrey S Overcash Emergency Medicine Team Physicians of Northern California Medical Group Inc 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Yu Cheng Neurology Er-kai Gao Md Inc. 8851 Ctr Dr, Suite 603, La Mesa, CA 91942
Ali Banaie Gastroenterology 8860 Ctr Dr, Suite 420, La Mesa, CA 91942
Alison P Anthony Nurse Practitioner Banaie Medical Corporation 8860 Ctr Dr, Suite 420, La Mesa, CA 91942
Carter C Gardner Psychologist, Clinical 4700 Spring St, La Mesa, CA 91942-0263
Martina Ann Clarke Psychologist, Clinical 4700 Spring St, Suite 204, La Mesa, CA 91942-0273
Shirley J Lanyi Psychologist, Clinical 4700 Spring St, Suite 204, La Mesa, CA 91942-0273
Cynthia A Thayer Clinical Social Worker 4700 Spring St, Suite 204, La Mesa, CA 91942-0273
Loralisa Marie Rocca Clinical Social Worker 4700 Spring St, Suite 204, La Mesa, CA 91942-0273
Judi Logan Winegar Clinical Social Worker 4700 Spring St, Suite 204, La Mesa, CA 91942-0273
Lisa M. Wyneken Clinical Social Worker 4700 Spring St, Suite 204, La Mesa, CA 91942-0273
Find all physicians in zip 91942

Competitor

Search similar physicians

City LA MESA
Zip Code 91942
Specialty INTERNAL MEDICINE
City + Specialty LA MESA + INTERNAL MEDICINE

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Dataset Information

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.

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