NPIMap

Individual provider Active NPI

Hosayn Khaleeli, MD

  • Nephrology Physician
  • Torrance, CA
National Provider Identifier
1003824673
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A062789 Issued in CA
Practice address
2245 Sepulveda Blvd
Torrance, CA 90501-5302
Phone
(310) 320-3204
Fax
(310) 320-0919
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A062789 CA Primary

Addresses

Primary practice location

2245 Sepulveda Blvd
Torrance, CA 90501-5302

Mailing address

2245 Sepulveda Blvd
Torrance, CA 90501-5302
Phone (310) 320-3204

Other identifiers 1

IdentifierTypeStateIssuer
00A627890MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000427 CA Practitioner - Nephrology 1052355286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Tufts University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2245 Sepulveda Blvd
Torrance, CA 90501-5302
Phone (310) 320-3204

Hospital & facility affiliations

  • DaVita Carson Dialysis Dialysis facility, Carson, CA, CCN 052803
  • USRC Lomita Dialysis Dialysis facility, Lomita, CA, CCN 052715
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353
  • Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468
  • Kindred Hospital South Bay Long-term care hospital, Gardena, CA, CCN 052050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A062789CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hosayn Khaleeli, M D Inc. CurrentSince Nov 1, 2017 Accepting new patients
Hosayn Khaleeli MD Inc Nephrology Current Accepting new patients
Carson Artificial Kidney Center, LLC PastSince Jul 22, 2005 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Gardena Hospital LP Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

2245 Sepulveda Blvd
Torrance, CA 90501
Phone (310) 320-3204

4201 Torrance Blvd
Ste 250
Torrance, CA 90503
Phone (310) 412-1096

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1003824673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015302",
            "telephone_number": "310-320-3204",
            "fax_number": "310-320-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015302",
            "telephone_number": "310-320-3204",
            "fax_number": "310-320-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALEELI",
        "first_name": "HOSAYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A062789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A627890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.