WESLEY GHASEM MD NPI 1083068936

NPI Information

NPI: 1083068936
Provider Name: WESLEY GHASEM, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA
ZIP 91402
Phone: (310) 553-5203
Get Directions

Wesley Ghasem, MD is a cardiovascular disease internal medicine in Panorama City, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Wesley Ghasem, MD NPI is 1083068936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA
ZIP 91402-683
Phone: (310) 553-5203
Fax: (310) 652-0933

The NPI 1083068936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2016 and was last updated on 7/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	A153555	CALIFORNIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			CALIFORNIA	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	A153555	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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