Individual provider Active NPI

Ayaan Heis Khalif

  • Case Manager/Care Coordinator
  • Spring Valley, CA
National Provider Identifier
1043437874
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1905 Terracina Cir
Spring Valley, CA 91977-3544
Phone
(619) 295-6067
Fax
(619) 295-6047
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1905 Terracina Cir
Spring Valley, CA 91977-3544

Mailing address

7594 Park Ridge Blvd Unit 14
San Diego, CA 92120-2235
Phone (619) 567-6873

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

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1043437874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7594 PARK RIDGE BLVD UNIT 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202235",
            "telephone_number": "619-567-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 TERRACINA CIR",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773544",
            "telephone_number": "619-295-6067",
            "fax_number": "619-295-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIF",
        "first_name": "AYAAN",
        "middle_name": "HEIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.