Active NPI
Sharain Khalil, PA-C
- Physician Assistant
- Milpitas, CA
National Provider Identifier
1013072776
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17881
- Practice address
- 1109 S Park Victoria Dr
Milpitas, CA 95035-6942 - Phone
- (408) 946-9453
- NPI assigned
- Dec 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17881 | CA | Primary |
Addresses
Primary practice location
1109 S Park Victoria Dr
Milpitas, CA 95035-6942
Mailing address
911 Cabrillo Hwy N
Half Moon Bay, CA 94019-1501
Phone (925) 202-1398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17881 | CA | MD | Mental Health Counselor |
| PA17881 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013072776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 CABRILLO HWY N",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940191501",
"telephone_number": "925-202-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 S PARK VICTORIA DR",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950356942",
"telephone_number": "408-946-9453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "SHARAIN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milpitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.