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DR. KENNETH KAMBIZ GHEYSAR M.D.
NPI 1609992171
Family Medicine - Addiction Medicine in Laguna Hills, CA

Active since March 22, 2007
23046 AVENIDA DE LA CARLOTA STE 600, LAGUNA HILLS, CA 92653(949) 306-2566 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Kambiz Gheysar M.d. NPPES

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

DR. KENNETH KAMBIZ GHEYSAR M.D. (NPI 1609992171) is an individual addiction medicine provider in Laguna Hills, California, licensed in California (G 71924) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1609992171
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. KENNETH KAMBIZ GHEYSARCredential: M.D.
Location Address23046 AVENIDA DE LA CARLOTA STE 600Laguna Hills, CA 92653-1537
Mailing Address23046 Avenida De La Carlota Ste 600Laguna Hills, CA 92653-1537 · (949) 306-2566
Phone(949) 306-2566
Sole ProprietorYes
Enumeration DateMarch 22, 2007
Last NPPES UpdateApril 29, 2022
NPPES CertifiedApril 29, 2022
✔ NPI 1609992171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CA · G 71924
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

23046 AVENIDA DE LA CARLOTA STE 600, Laguna Hills, CA 92653
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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.

1 SPECTRUM THERAPY
Behavior Analyst
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA 92653
Orange County (714) 805-9070
NAOMI SUGEY MIRANDA
Behavior Technician
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA 92653
Orange County (714) 805-9070
ELIZABETH JARAMILLO
Behavior Technician
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA 92653
Orange County (714) 805-0970
LESLYE RENDON
Behavior Technician
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA 92653
Orange County (949) 543-6950
RE NEW YOU-A CALIFORNIA PSYCHOLOGICAL CORPORATION
Psychologist
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA 92653
Orange County (949) 409-5075
LARA VU
Behavior Technician
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA 92653
Orange County (714) 805-9070
RYAN DEEGAN
Behavior Technician
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA 92653
Orange County (949) 543-6950
MARLYN MORA
Behavior Technician
23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA 92653
Orange County (714) 504-5347

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 Kenneth Gheysar's NPI number?

The NPI number for Kenneth Gheysar is 1609992171. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Kenneth Gheysar located?

Kenneth Gheysar practices at 23046 Avenida De La Carlota Ste 600, Laguna Hills, CA 92653. The listed phone number is (949) 306-2566.

What is Kenneth Gheysar's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Kenneth Gheysar was last updated on April 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.