Khatereh Bakhtavar Hinze, D.C., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA19728 Issued in CA

Practice address

4305 Torrance Blvd
106
Torrance, CA 90503-4409

Phone

(310) 542-9758

NPI assigned

Apr 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1144495441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 GREENFIELD AVE",
            "address_2": "205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254460",
            "telephone_number": "310-871-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD",
            "address_2": "106",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034409",
            "telephone_number": "310-542-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZE",
        "first_name": "KHATEREH",
        "middle_name": "BAKHTAVAR",
        "name_prefix": "Dr.",
        "credential": "D.C., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26340",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Hilliado
• Hillside Dermatology
• Ava Frances Hinkle
• Cristina Hinojosa-Martinez
• Leo Frank Hinojosa, LMT
• Harmandeep Kaur Hira
• Tsuneo Hirabayashi, M.D.
• Sena E Hiradate, DDS
• Paul S. Hirano
• Alyssa Hirata, OTR/L

• Physician Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.