Khadija Damji, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95027470 Issued in CA

Practice address

3420 Carmel Mountain Rd Ste 200
San Diego, CA 92121-1069

Phone

(858) 267-4365

NPI assigned

May 16, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gen 5 Fertility Center, P.C.

  • Reproductive Endocrinology Physician
  • San Diego, CA
  • NPI 1164901237
  NPD

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1033968672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BROOKE CT UNIT 404",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225286",
            "telephone_number": "416-841-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 CARMEL MOUNTAIN RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211069",
            "telephone_number": "858-267-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMJI",
        "first_name": "KHADIJA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Katherine Dameron, LMFT
• Jasmine Damian
• Joshua Kaleb Damian
• Lucia Damian, AMFT #137820
• Damion J Valletta DO Professional Corporation
• Sokvannary Damlong
• Dawn Marie Damm, RN
• Sophia Hawker Dammann, D.C.
• Elizabeth K Dammeyer, APCC
• Damon Cobb DO Incorporated

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.