KOUROSH BEROUKHIM M.D.
NPI 1063866150
Dermatology - MOHS-Micrographic Surgery in Long Beach, CA

Q: What is Kourosh Beroukhim's NPI number?

The NPI number for Kourosh Beroukhim is 1063866150. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Q: What is Kourosh Beroukhim's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Q: When was this NPI record last updated?

The NPPES record for Kourosh Beroukhim was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2016PECOS EnrolledAccepts Medicare Assignment

3828 SCHAUFELE AVE STE 300, LONG BEACH, CA 90808(562) 997-1144(562) 997-9881 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2026, Dec 8, 2021, Jun 10, 2021 and 2 more (5 updates tracked since 2017).

On this page

About Kourosh Beroukhim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOUROSH BEROUKHIM M.D. (NPI 1063866150) is an individual mohs-micrographic surgery provider in Long Beach, California, licensed in California (A152655) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of University Of California, Geffen School Of Medicine (2016).

NPPES Registry Identity

NPI1063866150

Entity TypeIndividualMale

Primary Taxonomy207ND0101X

Provider Legal NameKOUROSH BEROUKHIMCredential: M.D.

Location Address3828 SCHAUFELE AVE STE 300Long Beach, CA 90808-1793

Mailing Address3828 Schaufele Ave Ste 300Long Beach, CA 90808-1793 · (562) 997-1144 · Fax (562) 997-9881

Phone(562) 997-1144

Fax(562) 997-9881

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2016

Enumeration DateApril 15, 2016

Last NPPES UpdateJanuary 5, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1063866150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in CA · A152655

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X · License A152655 (CA)

3828 SCHAUFELE AVE STE 300, Long Beach, CA 90808

Open in Google Maps ↗

Secondary Practice Location 1

Location 110800 Magnolia AveRiverside, CA 92505-3043 · Phone (310) 272-6025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kourosh Beroukhim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951708114

PECOS Enrollment IDI20210930001934

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kourosh Beroukhim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group

5.2 mi

Health Maintenance Organization

9400 ROSECRANS AVE
Bellflower, CA 90706

Reassigned Medicare billing, California enrollment
Also billed through NPI 1396287082 (California)
13,921 clinicians in this Medicare group

NPI 1043242555 (562) 461-3000

J Robert West, M.D., Inc

22 mi

Dermatology

400 NEWPORT CENTER DR STE 702
Newport Beach, CA 92660

Reassigned Medicare billing, California enrollment
Medicare enrollment name: J Robert West MD Inc
121 clinicians in this Medicare group

NPI 1932154788 (949) 644-0101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90808 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LASER CARE SPECIALISTS

Specialist