JAMEEL KASSAM MD
NPI 1184347619
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since September 20, 2022PECOS Enrolled
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(714) 336-3585 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2022, Sep 20, 2022 (2 updates tracked since 2022).

About Jameel Kassam Md NPPES

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

JAMEEL KASSAM MD (NPI 1184347619) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2021).

NPPES Registry Identity

NPI1184347619
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAMEEL KASSAMCredential: MD
Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6021
Mailing Address4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2021
Enumeration DateSeptember 20, 2022
Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
NPI 1184347619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027

Other Identifiers 1

Other0000000CA · Na

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jameel Kassam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577032119
PECOS Enrollment IDI20260513002161
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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Internal Medicine (Nephrology)
4733 W SUNSET BLVD FL 3, KAISER PERMANENTE SOUTHERN CALIFORNIA
LOS ANGELES, CA 90027
Obstetrics & Gynecology (Obstetrics)
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jameel Kassam's NPI number?

The NPI number for Jameel Kassam is 1184347619. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Jameel Kassam located?

Jameel Kassam practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (714) 336-3585.

What is Jameel Kassam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jameel Kassam enrolled in Medicare?

Yes. Jameel Kassam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jameel Kassam was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.