Khemara Family Medical Clinic Inc. is a medicare enrolled "Internal Medicine" provider in Long Beach, California. Their current practice location is
1533 Alamitos Ave, Long Beach, California. You can reach out to their office (for appointments etc.) via phone at
(562) 218-5350.
Khemara Family Medical Clinic Inc. is licensed to practice in California (license number A41589) and it also participates in the medicare program. Khemara Family Medical Clinic Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639193303.
Healthcare Provider's Profile
| Full Name | Khemara Family Medical Clinic Inc. |
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| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 1533 Alamitos Ave, Long Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639193303
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 02/23/2010
Medicare PECOS Information:
- PECOS PAC ID: 6800990292
- Enrollment ID: O20070323000324
Medical Identifiers
Medical identifiers for Khemara Family Medical Clinic Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639193303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC28687 (California) | Secondary |
| 207R00000X | Internal Medicine | A41589 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Khemara Family Medical Clinic Inc. acts as a billing entity for following providers:
| Provider Name | Nagasamudra S Ashok |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1821036229
PECOS PAC ID: 5294707618
Enrollment ID: I20040917001124 |
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| Provider Name | Rajiv Harshad Bhuva |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1821148941
PECOS PAC ID: 0941229231
Enrollment ID: I20051116000291 |
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| Provider Name | Vijay K Mohan |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1326084682
PECOS PAC ID: 8426097858
Enrollment ID: I20110412000864 |
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| Provider Name | Oliver Lee Chiu |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1740725068
PECOS PAC ID: 7517243579
Enrollment ID: I20170707002562 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khemara Family Medical Clinic Inc. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Khemara Family Medical Clinic Inc.
1533 Alamitos Ave,
Long Beach, CA 90813-2214
Ph: (562) 218-5350 | Khemara Family Medical Clinic Inc.
1533 Alamitos Ave,
Long Beach, CA 90813-2214
Ph: (562) 218-5350 |
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