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BORIS KHAMISHON., PROF. CORP
NPI 1659356103
Psychiatry & Neurology - Neurology in San Diego, CA

Active since December 07, 2005
6699 ALVARADO RD, 2301, SAN DIEGO, CA 92120(619) 582-2595(619) 229-8006 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boris Khamishon., Prof. Corp NPPES

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

BORIS KHAMISHON., PROF. CORP (NPI 1659356103) is a healthcare organization registered as a neurology in San Diego, California and active in the NPI registry since December 2005. The organization lists Boris Khamishon, Neurology, as its authorized official.

NPPES Registry Identity

NPI1659356103
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameBORIS KHAMISHON., PROF. CORP
Location Address6699 ALVARADO RD, 2301San Diego, CA 92120-5238
Mailing Address531 Palomar AveLa Jolla, CA 92037-6143 · (619) 582-2595 · Fax (619) 229-8006
Phone(619) 582-2595
Fax(619) 229-8006
Organization SubpartNo
Authorized OfficialBoris KhamishonNeurology · (619) 582-2595
Enumeration DateDecember 7, 2005
Last NPPES UpdateAugust 4, 2016
✔ NPI 1659356103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
6699 ALVARADO RD, San Diego, CA 92120
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boris Khamishon., Prof. Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20080505000664Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Boris Khamishon., Prof. Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Boris Khamishon, NEUROLOGY
Neurology
NPI 1104922038
6699 ALVARADO RD #2301
San Diego, CA 92120
(619) 582-2595
✔ PECOS✔ Accepts MedicareSame address

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

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 Boris Khamishon., Prof. Corp's NPI number?

The NPI number for Boris Khamishon., Prof. Corp is 1659356103. It was assigned to this organization in the NPPES registry on December 7, 2005.

Where is Boris Khamishon., Prof. Corp located?

Boris Khamishon., Prof. Corp is located at 6699 Alvarado Rd 2301, San Diego, CA 92120. The listed phone number is (619) 582-2595.

What is Boris Khamishon., Prof. Corp's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Boris Khamishon., Prof. Corp enrolled in Medicare?

Yes. Boris Khamishon., Prof. Corp is registered in the Medicare PECOS enrollment system.

When is Boris Khamishon., Prof. Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Boris Khamishon., Prof. Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Boris Khamishon., Prof. Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Boris Khamishon., Prof. Corp was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.