Organization Active NPI

Kleiman Healthcare Services

  • Primary Care Clinic/Center
  • Tualatin, OR
National Provider Identifier
1154070084
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KLEIMAN HEALTHCARE SERVICES
Practice address
19365 SW 65TH Ave Ste 205
Tualatin, OR 97062-9196
Phone
(503) 427-0588
Fax
(503) 376-5064
NPI assigned
Mar 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Nazeneem S Kleiman, FNP-BCNPI 1497396899
Title
Nurse Practitioner/President
Phone
(310) 951-3450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

19365 SW 65TH Ave Ste 205
Tualatin, OR 97062-9196

Mailing address

19365 SW 65TH Ave Ste 205
Tualatin, OR 97062-9196
Phone (503) 427-0588

Other practice location 1

8101 SW Nyberg St Ste 106
Tualatin, OR 97062-9464
Phone (503) 427-0588 ext. 70588

Other identifiers 1

IdentifierTypeStateIssuer
1497396899MedicaidTX

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Athena Health Information Exchange (HIE)
CONNECT URL Athena Health Information Exchange (HIE)
CONNECT URL CureMD Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220826001786 OR Part B Supplier - Clinic/Group Practice 3678951605 Receives reassigned benefits from 2 practitioners
Practice locations: Tualatin, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2301856Kleiman Healthcare Services19365 SW 65TH Avenue, #205, Tualatin, OR 97062Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory

Locations

415 N State St
Ste 136
Lake Oswego, OR 97034

8101 SW Nyberg St
Ste 106
Tualatin, OR 97062
Phone 5034270588 ext. 70588

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1154070084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE STE 205",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-427-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE STE 205",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-427-0588",
            "fax_number": "503-376-5064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 SW Nyberg St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970629464",
            "country_code": "US",
            "telephone_number": "503-427-0588 x70588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KLEIMAN HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-19",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "KLEIMAN",
        "authorized_official_first_name": "NAZENEEM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/PRESIDENT",
        "authorized_official_telephone_number": "310-951-3450",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497396899",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8101 SW Nyberg St Ste 106",
            "city": "Tualatin",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970629464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "19365 SW 65th Ave Ste 205",
            "city": "Tualatin",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970629196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CureMD",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CureMD",
            "address_1": "415 N State St Ste 136",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970343243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.