DR. KAMRAN GHODSIAN M.D. NPI 1942204409

NPI Information

  • NPI: 1942204409
  • Provider Name: DR. KAMRAN GHODSIAN, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24502 PACIFIC PARK DR
    SUITE 105
    ALISO VIEJO, CA
    ZIP 92656
  • Phone: (949) 362-1515

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NPI Details

DR. Kamran Ghodsian, M.D. is a specialist in Aliso Viejo, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Kamran Ghodsian, M.D. NPI is 1942204409. 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:

24502 PACIFIC PARK DR
SUITE 105
ALISO VIEJO, CA
ZIP 92656-033
Phone: (949) 362-1515
Fax: (949) 362-7548

The NPI 1942204409 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2005 and was last updated on 1/26/2012.

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
1174400000XSpecialistA41039CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A410390MEDICAIDCALIFORNIA
2WA41039FMEDICARE PINCALIFORNIA
3WA41039GMEDICARE PINCALIFORNIA
4E69148MEDICARE UPINCALIFORNIA
5WA41039CMEDICARE PINCALIFORNIA
6WA41039BMEDICARE PINCALIFORNIA

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: 11/21/2025

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