Leenah Hisham a Khayat

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95012801 Issued in CA

Practice address

2592 N Santiago Blvd
Orange, CA 92867-1862

Phone

(855) 434-7763

NPI assigned

Jul 22, 2022

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Senior Doc Integrated Med PCGroup PAC ID 3375990286, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Paul Home Health Services, Inc Home health agency, Van Nuys, CA, CCN 059287
• High Quality Home Health Agency, Inc Home health agency, Torrance, CA, CCN 058346

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Senior Doc Integrated Med, PC

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1396526026
  Medicare reassignment Care Compare group
• California PHS PC

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1649932781

  Nurse Practitioner

  NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD

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

• High Quality Home Health Agency, Inc.

  • Home Health Agency
  • Torrance, CA
  • NPI 1053471847
  Care Compare affiliation
• St Paul Home Health Services Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1558592451
  Care Compare affiliation

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1023743986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 N SANTIAGO BLVD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928671862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 N SANTIAGO BLVD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928671862",
            "telephone_number": "855-434-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAYAT",
        "first_name": "LEENAH",
        "middle_name": "HISHAM A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parmis Khatibi, PHARM.D.
• Talayeh Khatibi, M.D.
• Farokh Ashrafia Khatiblou, DMD DDS
• Suvidha Khatri
• Zane Khattab
• Azadeh Khayyat
• Sheida Khazaii-Tabari
• Noor Khedraki, DDS
• Aaron Daniel Kheriaty, MD
• Hasen Abdulalim Khiar

• Nurse Practitioner in Orange, CA
• Providers in Orange, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.